中西医结合治疗急性胆源性胰腺炎46例疗效观察

Clinical effect of integrated traditional Chinese and western medicine in the treatment of 46 patients with acute biliary pancreatitis

目的评价中西医结合治疗急性胆源性胰腺炎的疗效。方法将2008年1月至2012年12月收治的78例急性胆源性胰腺炎患者随机分为中西医结合组(46例)与西医组(32例),两组均予十二指肠内镜治疗及常规治疗,中西医结合组在常规治疗的基础上,经胃管注入复方大柴胡汤。结果与西医组比较,中西医结合治疗组总有效率(89.1%)明显升高(P<0.05)。治疗前两组患者血淀粉酶比较差异无统计学意义(P>0.05),经治疗后监测两组第3、7、14天的血淀粉酶,结果显示中西医结合组血淀粉酶下降速度快于西医组(P<0.05)。结论十二指肠内镜联合复方大柴胡汤治疗急性胆源性胰腺炎疗效满意,恢复快,值得临床推广。

Objective To evaluate the curative effect of the integrated traditional Chinese and western medi- cine for the treatment of acute biliary pancreatitis （ABP）. Methods Seventy-eight patients with ABP were admitted in our hospital from January 2008 to December 2012 were randomly divided into integrated traditional Chinese and western medicine treatment group （group A） and western medicine treatment group （group B）. The patients in group B （n=32） received emergent endoscopic procedures and routine treatment, while those in group A （46 cases） were treat- ed by the Chinese medicine ＂Da Chai Hu Tang＂ by stomach tube based on emergent endoscopic procedures and rou- tine treatment. Results Compared with group B, the total effective rate of group A （89.1%） was significantly high- er （P〈0.05）. The two groups showed no statistically significant difference in blood amylase before treatment （P〉0.05）. 3 d, 7 d and 14 d after treatment, the decrease in blood amylase of group A was more significant than that of group B （P〈0.05）. Conclusion The method of duodenoscope combined with Chinese medicine ＂Da Chai Hu Tang＂ is effec- tive, with good curative effect, fast recovery, which is worthy to be widely used.