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目的:观察奥曲肽联合中药治疗轻型急性胰腺炎的临床疗效。方法:选取本院收治的120例轻型急性胰腺炎患者,按随机数字表法分为观察组与对照组,每组各60例。对照组进行常规治疗并给予奥曲肽,观察组在对照组治疗的基础上联合中药治疗。两组患者均连续治疗7 d,观察临床治疗效果,记录患者血淀粉酶、尿淀粉酶及血白细胞水平,记录呕吐消失时间、首次排气与通便时间、腹胀缓解时间。结果:观察组治疗总有效率为95.0%,对照组为73.3%,两组比较,差异有统计学意义(P<0.05);观察组呕吐消失时间、首次排气与通便时间、腹胀缓解时间均短于对照组,两组上述指标比较,差异均有统计学意义(P<0.05);观察组血淀粉酶、尿淀粉酶及血白细胞水平下降程度比对照组更高,两组比较,差异均有统计学意义(P<0.05)。结论:在常规对症治疗给予奥曲肽治疗的基础上,联合中药治疗,有助于轻型急性胰腺炎患者临床症状和观察指标的改善,疗效确切。
Objective: To observe the clinical efficacy of octreotide combined with traditional Chinese medicine in the treatment of light acute pancreatitis. Methods: A total of 120 patients with mild acute pancreatitis admitted to our hospital were selected and randomly divided into observation group and control group with 60 cases in each group. The control group was given routine treatment and given octreotide. The observation group was treated with traditional Chinese medicine on the basis of the control group. The patients in both groups were treated for 7 consecutive days. The clinical effect was observed. The levels of serum amylase, urinary amylase and leucocyte in the patients were recorded. The vomiting disappearance time, the time of first excretion and laxation, and the duration of bloating were recorded. Results: The total effective rate was 95.0% in the observation group and 73.3% in the control group. There was significant difference between the two groups (P <0.05). The vomiting disappearance time, the first exhaust and laxative time, (P <0.05). The levels of serum amylase, urinary amylase and leukocyte in the two groups were significantly lower than those in the control group (P <0.05). The differences between the two groups were statistically significant All were statistically significant (P <0.05). Conclusion: Based on the conventional symptomatic treatment of octreotide, combined with traditional Chinese medicine is helpful for the improvement of clinical symptoms and the observation of patients with acute pancreatitis. The curative effect is definite.