中西医结合治疗急性胰腺炎的临床疗效分析

Analysis of Clinical Efficacy of Integrated Traditional Chinese and Western Medicine in Treating Acute Pancreatitis

目的探析急性胰腺炎患者应用中西医结合治疗的临床效果。方法对该院2017年1月—2019年12月期间收治的70例急性胰腺炎患者进行分组研究,分组方法为随机数字表法,对照组35例,实验组35例。对照组应用常规西医治疗,实验组应用中西医结合治疗,对比分析两组患者临床疗效、临床指标及炎症因子水平。结果实验组总有效率为97.14%,对照组为77.14%,差异有统计学意义(χ2=4.590,P<0.05);实验组腹痛改善时间、血淀粉酶恢复时间、白细胞恢复时间分别为(4.14±1.01)d、(4.97±1.21)d、(5.07±1.23)d,对照组分别为(6.55±1.42)d、(7.86±1.76)d、(7.54±1.46)d,差异有统计学意义(t=12.640、5.510、5.740,P<0.05);实验组治疗后白介素-6(IL-6)、白介素-10(IL-10)、肿瘤坏死因子α(TNF-α)水平分别为(15.38±3.15)ng/L、(97.52±10.38)ng/L、(167.52±19.57)ng/L,对照组分别为(21.57±3.57)ng/L、(70.37±10.11)ng/L、(201.07±18.67)ng/L,差异有统计学意义(t=6.940、7.330、6.610,P<0.05)。结论急性胰腺炎患者应用中西医结合治疗的效果更加确切。

Objective To explore the clinical effects of integrated traditional Chinese and western medicine in patients with acute pancreatitis.Methods A grouping study of 70 patients with acute pancreatitis admitted to the hospital from January 2017 to December 2019 was carried out.The grouping method was random number table method,with 35 cases in the control group and 35 cases in the experimental group.The control group was treated with conventional Western medicine,and the experimental group was treated with integrated Chinese and Western medicine.The clinical efficacy,clinical indicators and inflammatory factor levels of the two groups were compared and analyzed.Results The total effective rate of the experimental group was 97.14%,and that of the control group was 77.14%,the difference was statistically significant(χ2=4.590,P<0.05);the improvement time of abdominal pain,the recovery time of blood amylase,and the recovery time of white blood cells in the experimental group were(4.14±1.01)d,(4.97±1.21)d,and(5.07±1.23)d,respectively,and the control group were(6.55±1.42)d,(7.86±1.76)d,(7.54±1.46)d,the difference was statistically significant(t=12.640,5.510,5.74,P<0.05).The levels of interleukin-6(IL-6),interleukin-10(IL-10)and tumor necrosis factor alpha(TNF-α)in the experimental group after treatment were(15.38±3.15)ng/L and(97.52±10.38)ng/L,(167.52±19.57)ng/L,the control group were(21.57±3.57)ng/L,(70.37±10.11)ng/L,(201.07±18.67)ng/L,the difference was statistically significant(t=6.940,7.330,6.610,P<0.05).Conclusion The effect of integrated traditional Chinese and western medicine in patients with acute pancreatitis is more accurate.