右江民族医学院学报
右江民族醫學院學報
우강민족의학원학보
JOURNAL OF YOUJIANG MEDICAL COLLEGE FOR NATIONALITIES
2015年
1期
45-47
,共3页
中草药%奥曲肽%胰腺炎
中草藥%奧麯肽%胰腺炎
중초약%오곡태%이선염
drugs,Chinese herbal%Octreotide%pancreatitis
目的：分析比较使用奥曲肽联合中药大承气汤加减治疗与单纯使用奥曲肽治疗轻型急性胰腺炎（轻型 AP）的临床疗效与应用价值。方法选取我院急诊留观和中医科所接治的49例轻型 AP 患者为研究对象，分为试验组（大承气汤组，n ＝24）和对照组（单纯西药组，n ＝25），试验组予以醋酸奥曲肽以及中药大承气汤加减治疗，对照组予以醋酸奥曲肽治疗，观察每例患者其临床症状完全缓解的时间、肛门排气时间、血清淀粉酶（AMS）和尿淀粉酶（UAMY）下降到正常值范围的时间以及住院时间。结果试验组轻型 AP 患者经治疗后其总有效率为91．67％，远高于对照组的68．00％（P ＜0．05）；试验组轻型 AP 患者的每项观察指标平均值均低于对照组（P ＜0．001）。结论使用奥曲肽联合中药大承气汤加减治疗轻型 AP 可以起到缩短轻型 AP 的治疗疗程，降低治疗费用，促进 AP 患者恢复的作用。
目的：分析比較使用奧麯肽聯閤中藥大承氣湯加減治療與單純使用奧麯肽治療輕型急性胰腺炎（輕型 AP）的臨床療效與應用價值。方法選取我院急診留觀和中醫科所接治的49例輕型 AP 患者為研究對象，分為試驗組（大承氣湯組，n ＝24）和對照組（單純西藥組，n ＝25），試驗組予以醋痠奧麯肽以及中藥大承氣湯加減治療，對照組予以醋痠奧麯肽治療，觀察每例患者其臨床癥狀完全緩解的時間、肛門排氣時間、血清澱粉酶（AMS）和尿澱粉酶（UAMY）下降到正常值範圍的時間以及住院時間。結果試驗組輕型 AP 患者經治療後其總有效率為91．67％，遠高于對照組的68．00％（P ＜0．05）；試驗組輕型 AP 患者的每項觀察指標平均值均低于對照組（P ＜0．001）。結論使用奧麯肽聯閤中藥大承氣湯加減治療輕型 AP 可以起到縮短輕型 AP 的治療療程，降低治療費用，促進 AP 患者恢複的作用。
목적：분석비교사용오곡태연합중약대승기탕가감치료여단순사용오곡태치료경형급성이선염（경형 AP）적림상료효여응용개치。방법선취아원급진류관화중의과소접치적49례경형 AP 환자위연구대상，분위시험조（대승기탕조，n ＝24）화대조조（단순서약조，n ＝25），시험조여이작산오곡태이급중약대승기탕가감치료，대조조여이작산오곡태치료，관찰매례환자기림상증상완전완해적시간、항문배기시간、혈청정분매（AMS）화뇨정분매（UAMY）하강도정상치범위적시간이급주원시간。결과시험조경형 AP 환자경치료후기총유효솔위91．67％，원고우대조조적68．00％（P ＜0．05）；시험조경형 AP 환자적매항관찰지표평균치균저우대조조（P ＜0．001）。결론사용오곡태연합중약대승기탕가감치료경형 AP 가이기도축단경형 AP 적치료료정，강저치료비용，촉진 AP 환자회복적작용。
Objective To analytically compare the efficacy and clinical value of Octreotide combined tradi-tional Chinese medicine (TCM)Dachengqi Tang (with addition and subtraction by symptoms)with single Oct-reotide in treatment of mild acute pancreatitis (mild AP). Methods Forty- nine patients with mild AP cared at Emergency Department and TCM Department of our hospital were involved in this study and were as-signed to an experimental group (Dachengqi Tang group,n =24)and a control group (single medicine group, n =25).Patients of the experimental group were given Octreotide acetate plus herbal medicine Dachengqi Tang (with addition and subtraction by symptoms),the control group received Octreotide acetate treatment.Ob-served time to complete remission,anus exhaust time,anus exhaust time,time of serum AMS and UAMY de-creasing to normal and hospital duration in every patient. Results Mild AP patients of the experimental group after treatment had a total effective rate up to 91.67%,significantly higher than the control group of 68.00% (P <0.05).The average value of each observation index of mild AP patients in experimental group was lower than control group,group-paired comparison yielded statistical differences (P <0.001). Conclu-sion Octreotide combined TCM Dachengqi Tang (with addition and subtraction by symptoms)for mild AP can shorten the treatment course and reduce the treatment cost,promote the AP patients recovery.
