CAJ | 학술논문

目的：评价清下化瘀方结合西医常规治疗急性胰腺炎的临床疗效。方法：将66例AP患者分为治疗组、对照组各33例，对照组予西药常规治疗，治疗组在此基础上加服清下化瘀方，治疗7天，观察患者临床总疗效、中医症候总积分及腹痛腹胀积分改善程度；腹痛腹胀缓解时间、血淀粉酶及白细胞计数恢复正常时间等以评价临床疗效。结果：①治疗组临床疗效优于对照组，有显著性差异（P＜0.05）；②治疗后2组中医症状总积分较治疗前明显改善，治疗后治疗组症状积分明显低于对照组（P＜0.05～0.01）；③与对照组相比，治疗组患者血淀粉酶、白细胞计数恢复正常时间，腹痛腹胀缓解时间均短于对照组（P＜0.05～0.01）。结论：清下化瘀方结合西医常规治疗急性胰腺炎是一种及时有效的治疗方法。
목적：평개청하화어방결합서의상규치료급성이선염적림상료효。방법：장66례AP환자분위치료조、대조조각33례，대조조여서약상규치료，치료조재차기출상가복청하화어방，치료7천，관찰환자림상총료효、중의증후총적분급복통복창적분개선정도；복통복창완해시간、혈정분매급백세포계수회복정상시간등이평개림상료효。결과：①치료조림상료효우우대조조，유현저성차이（P＜0.05）；②치료후2조중의증상총적분교치료전명현개선，치료후치료조증상적분명현저우대조조（P＜0.05～0.01）；③여대조조상비，치료조환자혈정분매、백세포계수회복정상시간，복통복창완해시간균단우대조조（P＜0.05～0.01）。결론：청하화어방결합서의상규치료급성이선염시일충급시유효적치료방법。
Objective: To assess curative effects of the prescription of clearing lower energizer and removing blood stasis combined with routine treatment of western medicine in treating acute pancreatitis (AP). Methods: Six-ty-six AP patients were separated into the treatment group and the control group, the control group received routine treatment of western medicine, the treatment group took the decoction of clearing lower energizer and removing blood stasis for seven days, clinical effects, total scales of TMC symptom, the improvements of abdominal pain and abdominal distension, relieving time of abdominal pain and abdominal distension, hemodiastase, the time of leuko-cyte count return to normal of the patients were observed to assess clinical effects. Results: ①The treatment group was superior to the control group in clinical effects, with significant difference (P<0.05); ②After treating, total scales of TCM symptom of both groups were improved compared with these before treating, symptom scales of the treatment group were obviously lower than these of the control group after treating (P<0.05~0.01); ③The treat-ment group was shorter than the control group in hemodiastase, the time of leukocyte count return to normal, reliev-ing time of abdominal pain and abdominal distension, the comparison between both groups showed notable differ-ence (P<0.05~0.01). Conclusion: The prescription of clearing lower energizer and removing blood stasis combined with routine treatment of western medicine are effective methods in treating AP.