CT对中西医结合治疗重症急性胰腺炎疗效及预后的评估价值分析

Analysis on Value of CT in Evaluation of Prognosis and Curative Effect of Integrated Chinese and Western Medicine Therapy in Treatment of Severe Acute Pancreatitis

目的:探讨CT对中西医结合治疗重症急性胰腺炎(SAP)疗效及预后的评估价值。方法:选取100例SAP患者,按随机数字表法分为试验组和对照组,每组50例。对照组给予常规对症治疗及营养支持,试验组在对照组基础上加用清胰汤治疗,2组均治疗2周。比较2组临床疗效、病死率、CT密度及胰腺外炎症评分。结果:试验组总有效率为90.00%,高于对照组的74.00%(P<0.05)。治疗后,试验组Balthazar CT分级Ⅲ级病死率为8.33%、Ⅳ级病死率为11.76%,总病死率为8.00%;对照组Balthazar CT分级Ⅲ级病死率为16.00%、Ⅳ级病死率为27.78%,总病死率为18.00%。2组总病死率比较,差异有统计学意义(P<0.05)。治疗后,试验组CT密度大于对照组(P<0.05),胰腺外炎症评分低于对照组(P<0.05)。结论:中西医结合治疗SAP可有效改善患者的临床症状,降低病死率;CT检查可有效评估中西医结合治疗SAP的疗效和预后。

Objective:To discuss the value of CT in evaluation of prognosis and the curative effect of integrated Chinese and western medicine therapy in treatment of severe acute pancreatitis(SAP). Methods:A total of 100 cases of SAP patients were selected and divided into the experiment group and the control group according to the random number table method,50 cases in each group. The control group was given routine symptomatic treatment and nutritional support, and the experiment group was additionally given Qingyi tang based on the treatment of the control group. Both groups were treated for two weeks. The clinical effect, the fatality rate, CT density, and the score of extrapancreatic inflammation were compared between the two groups. Results:The total effective rate was 90.00% in the experiment group,higher than that of 74.00% in the control group(P<0.05). After treatment,in the experiment group,the fatality rate of grade Ⅲ by Balthazar CT classification was 8.33%,the fatality rate of grade Ⅳ was 11.76%,and the total fatality rate was 8.00%;in the control group,the fatality rate of grade Ⅲ by Balthazar CT classification was 16.00%,the fatality rate of grade Ⅳ was 27.78%,and the total fatality rate was 18.00%;there was significant difference being found in the comparison of the total fatality rate between the two groups(P<0.05). After treatment,CT density in the experiment group was larger than that in the control group(P<0.05), and the score of extrapancreatic inflammation was lower(P<0.05). Conclusion: In the treatment of SAP,integrated Chinese and western medicine therapy can effectively improve clinical symptoms and reduce the fatality rate. CT examination can effectively assess prognosis and the curative effect of integrated Chinese and western medicine therapy in treatment of SAP.