CAJ | 학술논문

目的：探讨中西医结合治疗重症胰腺炎的有效性。方法将75例急性重症胰腺炎病例分为单纯西医治疗组35例(对照组)和西医联合中医治疗组(治疗组)40例,比较两组患者症状消失、血尿淀粉酶、白细胞计数恢复正常所需时间,住院天数等。结果治疗组40例,1例死于多脏器衰竭,3例病情加重急诊行胰腺周围引流,胆结石胆囊切除术。对照组35例,3例死于多脏器衰竭,治疗组患者腹痛症状消失快,血尿淀粉酶及白细胞计数恢复正常需要时间短,住院时间短。结论在西药治疗基础上,结合中医药的通里攻下、疏肝解郁、清热解毒、逐瘀散结等个体化辨证施治,可有效抑制胰腺分泌,减轻胰腺的自身溶解和炎症反应,加速胰腺功能恢复,改善SAP的症状、体征,缩短病程,降低并发症及死亡率,提高治愈率。
목적：탐토중서의결합치료중증이선염적유효성。방법장75례급성중증이선염병례분위단순서의치료조35례(대조조)화서의연합중의치료조(치료조)40례,비교량조환자증상소실、혈뇨정분매、백세포계수회복정상소수시간,주원천수등。결과치료조40례,1례사우다장기쇠갈,3례병정가중급진행이선주위인류,담결석담낭절제술。대조조35례,3례사우다장기쇠갈,치료조환자복통증상소실쾌,혈뇨정분매급백세포계수회복정상수요시간단,주원시간단。결론재서약치료기출상,결합중의약적통리공하、소간해욱、청열해독、축어산결등개체화변증시치,가유효억제이선분비,감경이선적자신용해화염증반응,가속이선공능회복,개선SAP적증상、체정,축단병정,강저병발증급사망솔,제고치유솔。
Objective To investigate the effectiveness of combination therapy of severe pancreatitis. Methods A total of 75 cases of severe acute pancreatitis patients were divided into western medicine group of 35 patients (control group) and western medicine combined therapy group (treatment group) 40 cases, two groups of patients symptoms, urine amylase, the time required to restore normal white blood cell count, days of hospitalization were compared. Results Of 40 patients in treatment group, 1 patient died of multiple organ failure, three cases of exacerbations emergency line drainage around the pancreas, gallstones cholecystectomy. Of 35 patients control group, 3 patients died of multiple organ failure, symptoms disappear quickly, hematuria, amylase and leukocyte counts returned to normal requires a short time, shorter hospital stay in treatment group. Conclusion On the basis of western medicine, combined with traditional Chinese medicine in the capture, liver qi stagnation, detoxification, and other individualized stasis stasis syndrome differentiation, which can effectively inhibit the secretion of the pancreas, reducing its own dissolution and pancreas inflammation accelerate the recovery of pancreatic function, improve SAP's symptoms, signs, shorten the course, reduce complications and mortality, improve the cure rate.