目的 探讨中西医结合治疗急性胆源性胰腺炎的临床疗效。方法 选择符合急性胆源性胰腺炎诊断标准的患者140例,随机分为Ⅰ组、Ⅱ组,每组70例。Ⅱ组接受常规治疗、外科微创综合治疗;Ⅰ组在Ⅱ组基础上给予中药组方。对比两组的血清淀粉酶恢复时间、腹痛缓解时间、首次自主排气排便时间、住院时间、并发症发生率、死亡率。 结果 Ⅰ组血淀粉酶恢复时间、腹痛缓解时间、首次自主排气排便时间、住院时间均小于Ⅱ组(P<0.05),并发症发生率和死亡率亦低于Ⅱ组。结论 早期采用中药组方及内镜干预综合治疗能有效改善急性胆源性胰腺炎预后,值得临床推广。

Objective To observe the clinical effects of traditional Chinese medicine integrated with western medicine on acute biliary pancreatitis.Methods A total of 140 patients with acute biliary pancreatitis were randomly divided into groupⅠ (n=70), who received conventional therapy, traditional Chinese medicine formula, and minimally invasive surgery, and groupⅡ (n=70), who received conventional therapy and minimally invasive surgery.The recovery time of serum amylase, abdominal pain relief time, first self-venting and defecation time, hospital stay, complication rate, and death rate were compared between the two groups.Results The recovery time of serum amylase, abdominal pain relief time, first self-venting and defecation time, and hospital stay in the groupⅠwere significantly shorter than those of the groupⅡ (P<0.05); the complication rate and death rate in the groupⅠwere also significantly lower than those of the groupⅡ (P<0.05).Conclusion The combined therapy of traditional Chinese medicine formula and endoscopic intervention shows better effects on patients with early-stage acute biliary pancreatitis and deserves clinical promotion.