急性重症胰腺炎的中西医结合非手术治疗

Nonoperative Integrated Traditional and Western Medical Treatment for Severe Acute Pancreatitis

目的：探讨中西医结合非手术治疗急性重症胰腺炎的疗效。方法：同期设治疗组和对照组，两组均给予西医综合治疗，治疗组加用中医中药。结果：治疗组治愈率81．25％，中转手术率4．17％，2～3周后手术处理后遗症率8．33％，病死率6．25％。对照组治愈率40．74％，中转手术率11．11％，2～3周后手术处理后遗症率18．52％，病死率29．63％。均有显著性差异。结论：中西医结合治疗疗效确切，并有降低死亡率、减少并发症、缩短病程等优点。

Objective To evaluate the therapeutic results of nonoperative traditional and western medical treatment for severe acute pancreatitis （SAP） Methods Patients with severe acute pancreatitis were divided into 2 groups, the control group was treated by synthetic western medicine treatment; the treatment group by combined western medicine treatment and traditional Chinese medicine treatment. Results The cure rate of the treatment group was 81.25 % ,6. 25 % in the group were transferred to operation, the postoperative morbidity was 8.33 %, mortality 6.25 % ;the cure rate of the control group was 40.74%, and 11.11% in the control group were transferred to operative treatment, postoperative morbidity 18.52%, mortality 29.63%, with statistically differences. Conclusion Integrated traditional and western medicine treatment is effective in SAP, with the advantageous of reduced morbidity and mortality, and shortening of course.