【摘要】：目的:評(píng)價(jià)與分析復(fù)方大承氣湯聯(lián)合西藥治療重癥急性胰腺炎療效與安全性。方法:選擇本院2010年5月—2013年5月所收治的80例重癥急性胰腺炎患者,按照隨機(jī)數(shù)字表法分組為觀察組和對(duì)照組。對(duì)照組:采用采用西藥烏司他丁治療。觀察組:烏司他丁聯(lián)合復(fù)方大承氣湯治療。觀察兩組患者治療前、后病情評(píng)分、實(shí)驗(yàn)室指標(biāo)恢復(fù)時(shí)間及臨床癥狀、體征恢復(fù)時(shí)間、臨床療效、不良反應(yīng)情況。結(jié)果:治療前,兩組患者APACHEII評(píng)分比較(P0.05);治療3d、7 d、14 d后,觀察組APACHEII評(píng)分分別為為(6.98±1.23)分、(5.54±1.01)分、(4.47±0.69)分,對(duì)照組則分別為(7.01±1.21)分、(6.28±1.12)分、(5.53±0.78)分;與治療前比較(P0.05);治療3 d后,兩組APACHEII評(píng)分比較(P0.05);治療5 d和10 d后,兩組APACHEII評(píng)分比較(P0.05)。兩組患者實(shí)驗(yàn)室指標(biāo)恢復(fù)時(shí)間及臨床癥狀、體征恢復(fù)時(shí)間、臨床療效、不良反應(yīng)比較(P0.05)。結(jié)論:相比單純西藥烏司他丁來(lái)說(shuō),采用烏司他丁聯(lián)合復(fù)方大承氣湯治療重癥急性胰腺炎具有更好的效果,且不良反應(yīng)少。
[Abstract]:Objective: to evaluate and analyze the efficacy and safety of compound Dachengqi decoction combined with western medicine in the treatment of severe acute pancreatitis. Methods: 80 patients with severe acute pancreatitis admitted in our hospital from May 2010 to May 2013 were divided into observation group and control group according to random number table method. The control group was treated with ulinastatin. Observation group: ulinastatin combined with compound Dachengqi decoction treatment. Before and after treatment, the scores, the recovery time of laboratory indexes and clinical symptoms, the recovery time of physical signs, the clinical efficacy and adverse reactions were observed. Results: before treatment, the APACHEII scores of the two groups were compared (P0.05), and the APACHEII scores of the observation group were (6.98 鹵1.23), (5.54 鹵1.01), (4.47 鹵0.69), respectively, and those of the control group were (7.01 鹵1.21), (6.28 鹵1.12), (5.53 鹵0.78), respectively, after 3 days of treatment (P0.05). The APACHEII scores of the two groups were compared (P0.05), and after 5 days and 10 days of treatment, the APACHEII scores of the two groups were compared (P0.05). The recovery time of laboratory indexes and clinical symptoms, physical signs, clinical efficacy and adverse reactions were compared between the two groups (P0.05). Conclusion: ulinastatin combined with compound Dachengqi decoction is more effective and has less adverse reactions than ulinastatin in the treatment of severe acute pancreatitis.
【作者單位】： 富陽(yáng)市人民醫(yī)院消化內(nèi)科;
【分類號(hào)】：R576

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張杰偉;曾仕平;莊桂鳳;李淑萍;張全鵬;;復(fù)方丹參聯(lián)合清胰湯、生長(zhǎng)抑素治療急性胰腺炎的療效觀察[J];重慶醫(yī)學(xué);2012年17期

2 張聲生;李乾構(gòu);李慧臻;王紅;唐艷萍;;急性胰腺炎中醫(yī)診療專家共識(shí)意見(jiàn)[J];中華中醫(yī)藥雜志;2013年06期

3 汪佩文;姜海瓊;吳堅(jiān)炯;;生長(zhǎng)抑素聯(lián)合柴芍承氣湯治療重癥急性胰腺炎21例臨床觀察[J];中醫(yī)藥導(dǎo)報(bào);2013年07期

4 張昊天;潘學(xué)峰;;大承氣湯治療重癥急性胰腺炎的療效及對(duì)患者血清TNF-α、IL-6、IL-8的影響研究[J];遼寧中醫(yī)雜志;2013年10期

5 趙佳芬;胡東勝;王春妍;;大承氣湯實(shí)驗(yàn)研究進(jìn)展[J];河南中醫(yī);2014年01期

6 杭永倫;黃遠(yuǎn)帥;;血清脂肪酶測(cè)定對(duì)急性胰腺炎的診斷價(jià)值[J];檢驗(yàn)醫(yī)學(xué);2012年06期

7 徐f ;汪飛;周發(fā)春;;早期腸內(nèi)營(yíng)養(yǎng)對(duì)重癥急性胰腺炎患者臨床預(yù)后的隨機(jī)對(duì)照研究[J];現(xiàn)代預(yù)防醫(yī)學(xué);2012年04期

8 余賢恩;;血液標(biāo)志物與胰腺外炎癥CT評(píng)分對(duì)急性胰腺炎嚴(yán)重性早期預(yù)測(cè)的比較[J];世界華人消化雜志;2012年11期

9 董耀;雷明君;胡美紅;殷小莉;李江紅;郭炳勛;苗江雨;安慧玲;;大承氣湯加味聯(lián)合西藥治療急性胰腺炎28例臨床觀察[J];中醫(yī)雜志;2012年21期

10 劉鵬程;;中西醫(yī)結(jié)合治療急性胰腺炎146例療效觀察[J];中國(guó)中醫(yī)急癥;2013年02期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陸必存;周華武;高，

本文編號(hào)：2241484