A review on the progress of Chinese and Western medicine in the treatment of severe acute pancreatitis
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摘要: 重症急性胰腺炎(severe acute pancreatitis,SAP)是急性胰腺炎(acute pancreatitis,AP)最严重的一种类型,常伴发全身炎症反应综合征以及多脏器功能衰竭。本病致病因素十分复杂,发病机制尚不完全明确,具有起病急、进展快、并发症多、治疗时间长、致死率高等特点。单纯使用中药或西药治疗仍难以完全控制疾病进展及改善预后,中西医协同在SAP治疗中显示一定优势。本文对近些年来中西医协同治疗SAP的研究进行归纳总结,结合西医发病机制、中医病机和中西医治疗研究现状等予以探讨,并浅析基于中西医病机融通下SAP中西医协同治疗的切入点,证实中西医协同治疗SAP具有合理性、可靠性、有效性、发展性等优势。未来进一步努力探索SAP的中西医协同治疗当是颇具价值的研究方向。Abstract: Severe acute pancreatitis(SAP) is the most serious type of acute pancreatitis(AP), which is often accompanied by systemic inflammatory response syndrome and multiple organ failure. The pathogenic factors of this disease are very complex, and the pathogenesis is not completely clear. It has the characteristics of acute onset, rapid progress, many complications, long treatment time and high mortality. It is still difficult to completely control the disease progression and improve the prognosis by using traditional Chinese medicine or Western medicine alone. The combination of traditional Chinese and Western medicine shows certain advantages in the treatment of SAP. This article summarizes the research on the collaborative treatment of SAP with traditional Chinese and Western medicine in recent years, discusses the pathogenesis of Western medicine, the pathogenesis of traditional Chinese medicine and the research status of traditional Chinese and Western medicine treatment, and analyzes the entry point of SAP collaborative treatment of traditional Chinese and Western medicine based on the integration of traditional Chinese and Western medicine pathogenesis. It is confirmed that the collaborative treatment of SAP with traditional Chinese and Western medicine has the advantages of rationality, reliability, effectiveness and development. In the future, it is a valuable research direction to further explore the synergistic treatment of SAP with Chinese and Western medicine.
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