中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
1期
81-83
,共3页
胰腺炎%丹参川芎嗪注射液%治疗
胰腺炎%丹參川芎嗪註射液%治療
이선염%단삼천궁진주사액%치료
Pancreatitis%Salviae miltiorrhizae and ligustrazine injection%Therapy
目的 探讨丹参川芎嗪联合西药治疗急性重症胰腺炎的效果.方法 选取河南省濮阳市安阳地区医院2009年1月至2013年3月住院的急性重症胰腺炎患者62例,采用随机数字表法分为观察组(35例)与对照组(27例).对照组给予西药常规治疗,观察组在对照组治疗基础上加用丹参川芎嗪注射液10 ml,加入0.9％氯化钠注射液静脉滴注,每日1次,疗程为10 d.比较2组治疗后总有效率、并发症发生率、外科手术率、病死率及不良反应.结果 观察组总有效率为97.1％(34/35),明显高于对照组的81.5％(22/27),2组总有效率比较差异有统计学意义(P＜0.05).观察组并发症发生率为28.6％(10/35),明显低于对照组的44.4％ (12/27) (P ＜0.01).观察组外科手术率(5.7％,2/35)及病死率(0)均低于对照组(外科手术率:14.8％,4/27,病死率:7.4％,2/27),差异均有统计学意义(均P＜0.05).结论 丹参川芎嗪联合西药治疗急性重症胰腺炎的疗效确切,并发症发生率、外科手术率及病死率低.
目的 探討丹參川芎嗪聯閤西藥治療急性重癥胰腺炎的效果.方法 選取河南省濮暘市安暘地區醫院2009年1月至2013年3月住院的急性重癥胰腺炎患者62例,採用隨機數字錶法分為觀察組(35例)與對照組(27例).對照組給予西藥常規治療,觀察組在對照組治療基礎上加用丹參川芎嗪註射液10 ml,加入0.9％氯化鈉註射液靜脈滴註,每日1次,療程為10 d.比較2組治療後總有效率、併髮癥髮生率、外科手術率、病死率及不良反應.結果 觀察組總有效率為97.1％(34/35),明顯高于對照組的81.5％(22/27),2組總有效率比較差異有統計學意義(P＜0.05).觀察組併髮癥髮生率為28.6％(10/35),明顯低于對照組的44.4％ (12/27) (P ＜0.01).觀察組外科手術率(5.7％,2/35)及病死率(0)均低于對照組(外科手術率:14.8％,4/27,病死率:7.4％,2/27),差異均有統計學意義(均P＜0.05).結論 丹參川芎嗪聯閤西藥治療急性重癥胰腺炎的療效確切,併髮癥髮生率、外科手術率及病死率低.
목적 탐토단삼천궁진연합서약치료급성중증이선염적효과.방법 선취하남성복양시안양지구의원2009년1월지2013년3월주원적급성중증이선염환자62례,채용수궤수자표법분위관찰조(35례)여대조조(27례).대조조급여서약상규치료,관찰조재대조조치료기출상가용단삼천궁진주사액10 ml,가입0.9％록화납주사액정맥적주,매일1차,료정위10 d.비교2조치료후총유효솔、병발증발생솔、외과수술솔、병사솔급불량반응.결과 관찰조총유효솔위97.1％(34/35),명현고우대조조적81.5％(22/27),2조총유효솔비교차이유통계학의의(P＜0.05).관찰조병발증발생솔위28.6％(10/35),명현저우대조조적44.4％ (12/27) (P ＜0.01).관찰조외과수술솔(5.7％,2/35)급병사솔(0)균저우대조조(외과수술솔:14.8％,4/27,병사솔:7.4％,2/27),차이균유통계학의의(균P＜0.05).결론 단삼천궁진연합서약치료급성중증이선염적료효학절,병발증발생솔、외과수술솔급병사솔저.
Objective To evaluate the efficacy of salviae miltiorrhizae and ligustrazine injection combined with western medicine in the treatment of patients of severe acute pancreatitis.Methods Sixty-two patients with severe acute pancreatitis of department of gastroenterology in Anyang district hospital from January 2009 to March 2013 were selected.They were randomized into observation group (35 cases) and control group (27 cases) by random number table method.Observation group was treated with salviae mihiorrhizae and ligustrazine injection combined with western medicine,and the control group was treated with Western medicine.The total effective rate,complication rate,surgical operation rate,mortality and adverse reactions of two groups after treatment were compared.Results The total effective rate of observation group was 97.1％ (34/35),which was higher than that of control group 81.5％ (22/27) (P ＜0.05).The complication rate of observation group was 28.6％ (10/35),which was lower than that of control group 44.4％ (12/27).Surgical operation rate and mortality of observation group were lower than that of control group [surgical operation rate:14.8％ (4/27) ; mortality:7.4％ (2/27)] ; there was asignificant difference (P ＜ 0.05).Conclusion Salviae miltiorrhizae and ligustrazine injection combined with western medicine is one of the effective and safe medical treatments for patients with severe acute pancreatitis.
