中西医结合治疗急性胰腺炎402例的临床回顾性研究

孙希良; 吕冠华; 孟秋菊

doi:10.3969/j.issn.1671-038X.2015.05.08

中西医结合治疗急性胰腺炎402例的临床回顾性研究

- 1 辽宁中医药大学附属二院脾胃科, 辽宁沈阳 110034;
- 2 辽宁中医药大学研究生学院, 辽宁沈阳 110032

详细信息

作者简介:
孙希良,女,主治医师,研究方向:脾胃病的中医药治疗

通讯作者: 孙希良,E-mail:lizhiwen-123@163.com

中图分类号: R576

收稿日期: 2015-01-09

A retrospective study of 402 acute pancreatitis treated by combined Chinese and western medicine

- 1 Department of Spleen and Stomach, the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110034, China;
- 2 Graduate School of Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China

More Information

Corresponding author: SUN Xi-liang, E-mail: lizhiwen-123@163.com

Received Date: 09 January 2015

摘要

摘要: [目的]通过对沈阳3家医院中西医结合治疗急性胰腺炎的病例进行回顾性研究,分析中医治疗应用的概况。[方法]收集3家医院急性胰腺炎病例402例,以回顾性的方法对病例的疾病分级和中医临床证治特点等做了系统研究,并对中西医结合与西医治疗比较临床症状的腹痛腹胀缓解时间、排气排便恢复时间、住院天数及检测指标进行量化分析。[结果]中西医结合是目前急性胰腺炎的主要治疗方案(77.86%),中医证型胆胰湿热为主(57.19%),中医治则以通里攻下为主。中西医结合组腹痛腹胀缓解时间、排气排便时间、血淀粉酶恢复正常时间及住院时间均短于西医组,差异有统计学意义(P＜0.01)。[结论]中西医结合在缓解临床症状、体征方面较西医疗效显著,临床应用越早疗效越好。
- 急性胰腺炎 /
- 通里攻下 /
- 证型 /
- 临床疗效 /
- 回顾性研究
Abstract: [Objective] A retrospective study was carried out in three hospitals of integrated traditional Chinese and western medicine of Shenyang area in order to analyze the general situation of TCM treatment application in acute pancreatitis.[Methods] Data were collected from three hospitals in 402 cases with acute pancreatitis. We retrospectively studied the disease classification, TCM clinical syndrome and treatment characteristics systematically. Meanwhile, we compared abdominal pain and distension relieving time,exhaust defecation recovery time,hospitalization days and the detection index for quantitative analysis after treatment of western medicine or the combination treatment of traditional Chinese and western medicine.[Results] The combination of traditional Chinese and western medicine is the main regimen in the treatment of acute pancreatitis(77.86%). Biliary and pancreatic damp heat is the main TCM syndrome type (57.19%). Chinese medicine is mainly used for purgation. Abdominal pain relief time,exhaust defecation time,recovery time of blood amylase and hospitalization time were shorter in combined treatment group than the western medicine group,and the difference was statistically significant(P＜0.001).[Conclusion] The combination of traditional Chinese and western medicine is superior to western medicine in relieving clinical symptoms and signs. Better effects will be achieved if used earlier.
- Acute pancreatitis /
- purgation /
- syndrome type /
- clinical curative effect /
- retrospective study

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参考文献(7)

[1]	中华医学会消化病学分会胰腺疾病学组.中国急性胰腺炎诊治指南(2013年,上海)[J].临床肝胆病杂志,2013,29(9):656-660.
[2]	陈爱平,黄宗文,邓戎,等.益活清下法为主在重症急性胰腺炎中的应用[J].新中医,2002,34(1):6-8.
[3]	范世芬,宋雪馨,张彬.中西医结合治疗重症急性胰腺炎的临床疗效观察[J].中国当代医药,2012,3(7):53-54.
[4]	刘霞,王利国.利胆清胰汤治疗急性胆源性胰腺炎32例[J].中国民间疗法,2012,1(1):33-34.
[5]	吕代雄.清胰汤加减结合西医治疗急性水肿型胰腺炎疗效观察[J].中华临床防治医学杂志,2007,12(6):78-79.
[6]	陶然,孙勇,丁春元.加味大柴胡汤对早期重症急性胰腺炎患者的治疗作用[J].中国医疗前沿,2007,2(1):10-12.
[7]	俞敏慧,钦丹萍."通里攻下"法治疗重症胰腺炎的研究进展[J].浙江临床医学,2011,13(5):569-569.