| 柳言平,李福广,洪伟,等.中西医结合治疗逆行胰胆管造影术后胰腺炎疗效观察[J].安徽医药,2016,20(11):2156-2159. |
| 中西医结合治疗逆行胰胆管造影术后胰腺炎疗效观察 |
| Traditional Chinese medicine combined with western medicine treatment onpancreatitis in patients with choledocholithiasis after ERCP |
| 投稿时间：2016-03-01 |
| DOI： |
| 中文关键词: 西医治疗 中药 内镜逆行胰胆管造影术 胰腺炎 |
| 英文关键词: Western medicine treatment Traditional Chinese medicine ERCP Pancreatitis |
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| 中文摘要: |
| 目的 观察常规西医治疗基础上加用中药合并针刺治疗逆行胰胆管造影术(ERCP)后胰腺炎的临床疗效。方法 收集行ERCP手术且术后出现胰腺炎的患者120例,采用随机数字表法分为观察组和对照组,每组60例,对照组采用常规西医治疗,观察组在西医治疗的基础上,加用中药联合针刺治疗。对比两组患者的症状及体征恢复时间、生化指标恢复时间和局部并发症发生率、转外科手术率、死亡率及临床疗效。结果 相比对照组,治疗组患者的腹痛消失时间、腹胀消失时间、自主排便出现时间及住院时间均下降,差异有统计学意义(t=3.028,2.894,2.743,3.244；P=0.003,0.005,0.007,0.002),而两组患者消化道出血、胰腺囊肿发生率均差异无统计学意义(P＞0.05),胰腺假性囊肿发生率明显降低(χ2=5.926,P=0.015)。治疗组患者血淀粉酶、C-反应蛋白、白细胞总数、碱性磷酸酶、谷氨酰转肽酶、总胆红素恢复正常值的时间均较对照组缩短,差异有统计学意义(t=3.874,2.459,2.485,3.105,3.300,3.725；P=0.000,0.015,0.014,0.002,0.001,0.000)。结论 中西医结合治疗ERCP术后急性胰腺炎临床疗效显著,且优于单独西医治疗,建议在临床可以推广使用。 |
| 英文摘要: |
| Objective To observe the clinical efficacy of acupuncture and traditional Chinese medicine combined with western medicinetreatment on pancreatitis in patients with choledocholithiasis after ERCP.Methods A hundred and twentypatients with choledochlithiasis after ERCP were randomized into two groups:treatment group and control group,with 60 patients in each group.The control group was given conventional western medicine,while the treatment group was given acupuncture and traditional Chinese medicine and the above normal therapy.Results In the treatmentgroup,the recovery time of abdominal pain,abdominal distension,defecation and hospital stay were significantly lower than those in the control group(t=3.028,2.894,2.743,3.244;P=0.003,0.005,0.007,0.002).There were no significant differences in incidence of the associated digestive tract hemorrhage and pancreatic cyst.Incidence of pancreatic pseudocyst in treatment groupreduced significantly(χ2=5.926,P=0.015).The coincidence times of hemodiastase,CRP,WBC,AKP,glutamyltranspeptidase and the total bilirubin in the treatment groupwere significantly lower than those in the control group(t=3.874,2.459,2.485,3.105,3.300,3.725；P=0.000,0.015,0.014,0.002,0.001,0.000).Conclusions Traditional Chinese medicine and acupuncture combined with western medicine treatment have good clinical preventive effects on choledocholithiasis after ERCP.It's worthy of clinic application. |
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