探讨中药辅助治疗改善急性胰腺炎的临床疗效

The effects of TCM medicine on acute pancreatitis

目的:探讨在西医基础上观察双柏散联合玄明粉外敷加大剂量大黄泡服对急性胰腺炎(AP)的辅助治疗作用。方法:收集我院2016年3月-2017年2月共52例符合AP诊断标准的患者,将其随机分为对照组和治疗组,各26例。对照组给予西医治疗,双柏散外敷于上腹部;治疗组给予西医治疗联合双柏散,玄明粉外敷于上腹部及大剂量生大黄泡服,对比两组治疗后疗效。结果:对照组血淀粉酶水平为(90.4±12.1)U/L,实验组为(78.3±8.2)U/L,两组相比差异具有统计学意义(P<0.01)。此外,两组血淀粉酶恢复正常时间及住院时间相比,差异同样具有统计学意义(P<0.05)。治疗组治疗有效率高于对照组(P<0.05)。结论:在西医治疗的基础上采用双柏散联合玄明粉外敷加大剂量大黄泡服辅助治疗可以有效改善AP患者病情,缩短住院时问,提高患者治疗有效率。

Objective： To observe the adjuvant effect of Shuangbo San（双柏散） and Xuanming Fen（玄明粉） plus Dahuang（大黄）on acute pancreatitis. Methods： 52 patients were randomly divided into the treatment group（26 cases） and control group（26 cases）. The control group was treated with western medicine plus Shuangbo San; the treatment group was treated with Xuanming Fen plus large doses of Dahuang more. Results： The level of serum amylase was（90.4±12.1） U/L and（78.3±8.2） U/L in two groups, with a statistically significant difference（P〈0.01）. There were statistically significant differences between groups in blood amylase returned to normal time and hospitalization time. The efficiency in the treatment group was higher than the control group（P〈0.05）. Conclusion： Western medicine, Shuangbo San and Xuanming Fen plus Dahuang can improve the condition, shorten hospitalization time and improve the treatment efficiency.