中西医结合治疗重症急性胰腺炎的临床应用

Analysis of Therapeutic Effect for Severe Acute Pancreatitis with Integrated Traditional Chinese and Western Medicine

目的探讨中西医结合与单纯西医治疗方法对重症急性胰腺炎(SAP)的效果。方法对1999年-2005年收治的 86例SAP治疗进行回顾性分析。前期40例采用一般治疗及手术(对照组),后期46例加用丹参针、大黄汤及芒硝外敷(治疗组)。结果治疗组在症状消失天数、腹水消失天数、肠功能恢复时间、并发症发生率和手术率明显短于对照组。结论中西医结合治疗重症急性胰腺炎能降低手术率、并发症发生率及死亡率,缩短住院日。

Objective To investigate the therapeutic effect of traditional Chinese and Western medicine and ordinary treatment in severe acute pancreatitis（SAP）. Methods Retrospective analysis of 86 SAP patients cases which were treated in our hospital during 1990-2005.40 patients in early period （control group） were treated with ordinary therapy and operation,while 46 patients in later period （treatment group） with salvia miltiorrhiza injection, Dahuang tang and mirabilite for external use. Results The disappearance of clinical symptoms,days of ascitic fluid absorbed,recovery of intestinal function were faster in treatment group than those in the control group.And complication incidences and operation rate were significantly lower in treatment group than those in the control group. Conclusions Treatment of integrated Chinese and western medicine in SAP patients could decrease operation rate, complication and death rate and shorten curative duration.