生长抑素联合中药胰炎合剂治疗重症急性胰腺炎效果观察

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1、生长抑素联合中药胰炎合剂治疗重症急性胰腺炎效果观察(宜宾骨科医院急诊科四川宜宾644000)【摘要】目的：探讨牛.长抑素联合中药胰炎合剂治疗重症急性胰腺炎的疗效。方法：将86例重症急性胰腺炎患者随机分为治疗组和对照组，各组43例。对照组予以生长抑素治疗，治疗组予以生长抑素联合中药胰炎合剂治疗。比较两组治疗前后临床指标、临床症状改善情况、疗效及不良反应情况。结果：治疗后，治疗组乳酸脱氢酶(LDH)、门冬氨酸氨基转移酶(AST)、血淀粉酶(AMS)、C反应蛋白(CRP)7K平，APACHEII评分低于对照组(P<0.05)；治疗组白蛋白(ALB)高于对照组(P<0.05)；治疗组临床症

2、状和指标恢复及呼吸机撤离时间早于对照组(P<0.05)；治疗组住院时间短于对照组(P<0.05)；治疗组有效率高于对照组(P<0.05)；治疗组不良反应发生率低于对照组(P<0.05)o结论：对重症急性胰腺炎患者予以牛.长抑素联合中药胰炎合剂治疗可明显改善症状体征,减轻炎症反成，减少不良反成少。【关键词】生长抑素；中药胰炎合剂；重症急性胰腺炎；临床疗效【中图分类号】R576【文献标识码】A【文章编号】2095-1752(2016)32-0073-02Observationoftherapeuticeffectofsomatostatincombinedwithtradi

3、tionalChinesemedicinemixtureinthetreatmentofsevereacutepancreatitisChenBaisong.DepartmentofEmergency,theorthopaedicshospitalinYibinSichuanSichuanYibin64000,China【Abstract】ObjectiveToexplorethetherapeuticeffectofsomatostatincombinedwithtraditionalChinesemedicinemixtureinthetreatmentofsevereacutepancr

4、eatitis.Method86casesofsevereacutepancreatitiswererandomlydividedintotwogroups:treatmentgroupandcontrolgroup,43casesineachgroup.Comparedthetwogroupsbeforeandafterthetreatmentofclinicalindicators,clinicalsymptomsimprovement,efficacyandadversereactions.ResultAftertreatment,Treatmentgroupoflactatedehyd

5、rogenase(LDH),asparticacidaminotransferase(AST),serumamylase(AMS),endotoxinandC-reactiveprotein(CRP)levelandAPACHEIIscorelowerthanthecontrolgroup(P<0.05);Albumin(ALB)intreatmentgroupwashigherthanthatincontrolgroup(P<0.05);Thetreatmentgroup,abdominalpainandabdominaldistension,bloodandurineamyla

6、serecovery,gastrointestinalfunctionrecovery,abdominaltendernessdisappeared,exhaustrecovery,AMPrecoveryandventilatorweaningtimewasearlierthanthecontrolgroup(P<0.05);Thesignificantefficiencyandtotaleffectiverateintreatmentgroupwassignificantlyhigherthanthatincontrolgroup(P<0.05).ConclusionTosoma

7、tostatincombinedwithtraditionalChinesemedicineYiyanhejitreatmentcansignificantlyimprovethesymptomsandsignsofpatientswithsevereacutepancreatitis,inflammatoryreaction,reduceadversereactions.【Keywords】So