大柴胡汤加减对临床50例重症胰腺炎转归的研究

Study on the Effect of Modified Radix Bupleuri Decoction on the Prognosis of 50 Cases of Severe Pancreatitis in Clinical Outcome Practice

本文主要开展大柴胡汤加减结合西医疗法治疗重症胰腺炎与单纯西医治疗临床转归的对比研究。选取山西省中西医结合医院2023年1月1日—2024年3月1日50例重症胰腺炎,随机分成对照组(25例)和治疗组(25例),分别接受大柴胡汤加减和纯西医治疗,对比重症胰腺炎转归的对比研究。结果显示治疗组在临床症状缓解(腹CT渗出吸收、首次排气排便、腹痛缓解、住院等时间)以及化验室指标(血尿淀粉酶、白细胞计数、C反应蛋白、PCT、血钙)恢复时间均小于对照组,另外治疗组有效率和显效率均高于对照组,并且差异有统计学意义(统计学概率P<0.05)。因此,大柴胡汤加减针对重症胰腺炎的治疗,具有明显的疗效。

This paper mainly conducts a comparative study on the clinical outcomes of modified radix bupleuri decoction combined with Western medicine treatment for severe pancreatitis and simple Western medicine treatment.Fifty cases of severe pancreatitis are selected from Shanxi Provincial Hospital of Integrated Traditional Chinese and Western Medicine from January 1,2023 to March 1,2024.They are randomly divided into a control group(25 cases)and a treatment group(25 cases),receiving modified radix bupleuri decoction and pure Western medicine treatment,respectively.A comparative study is conducted to compare the outcomes of severe pancreatitis.The results show that the treatment group has shorter clinical symptom relief(abdominal CT exudate absorption,first defecation,abdominal pain relief,hospitalization time,etc.)and laboratory indicators(blood and urine amylase,white blood cell count,C-reactive protein,PCT,blood calcium)recovery time than the control group.In addition,the treatment group has higher effective and significant rates than the control group,and the difference is statistically significant(statistical probability P<0.05).Therefore,modified radix bupleuri decoction has a significant therapeutic effect on the treatment of severe pancreatitis.