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参麦注射液辅助治疗重症急性胰腺炎的临床观察

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目的 观察参麦注射液辅助治疗重症急性胰腺炎(SAP)的临床疗效.方法 将SAP患者按照随机数字表法分为对照组44例(脱落2例,剔除2例,最终完成40例)与观察组45例(脱落1例,剔除3例,最终完成41例),对照组给予西医常规治疗措施,观察组在给予常规西医治疗措施的基础上加用参麦注射液.两组治疗1周后,比较临床症状、生命体征及实验室指标变化情况.结果 观察组治疗总有效率显著高于对照组(P<0.05).观察组肠内营养耐受率及中医症状改善率均显著高于对照组(P<0.05).两组急性胰腺炎床旁评分及急性生理和慢性健康状况(APACHE Ⅱ)评分均较治疗前有所降低(P<0.05),观察组评分改善情况优于对照组(P<0.05).两组血清白细胞计数(WBC)、C反应蛋白(CRP)、降钙素原(PCT)及白细胞介素-6(IL-6)水平均较治疗前有所降低(P<0.05),观察组治疗后各指标水平低于对照组(P<0.05).另外,两组治疗过程中均未见严重不良反应.结论 参麦注射液辅助治疗SAP能够改善患者临床症状,降低病情严重程度,改善临床预后.
Clinical Observation of Shenmai Injection as an Adjuvant Therapy for Severe Acute Pancreatitis
Objective:To observe the clinical efficacy of Shenmai Injection in the adjuvant treatment of severe acute pancreatitis(SAP).Methods:SAP patients were randomly divided into a control group of 44 cases(2 cases dropped out,2 cases excluded,and finally 40 cases completed)and an observation group of 45 cases(1 case dropped out,3 cases excluded,and finally 41 cases completed)using a random number table method.The control group received routine medicine treatment,while the observation group received additional Shenmai Injection in ad-dition to routine medicine treatment.After one week of treatment,the changes in clinical symptoms,vital signs,and laboratory indicators between the two groups were compared.Results:The total effective rate of the observa-tion group was significantly higher than that of the control group(P<0.05).The tolerance rate of enteral nutrition and the improvement rate of traditional Chinese medicine symptoms in the observation group were significantly higher than those in the control group(P<0.05).The bedside score and APACHE Ⅱ score of two groups of pa-tients with acute pancreatitis decreased compared with before treatment(P<0.05),and the observation group was better than the control group(P<0.05).The serum levels of WBC,CRP,PCT,and IL-6 in both groups of cases de-creased compared to before treatment(P<0.05),and the observation group was better than the control group(P<0.05).In addition,no serious adverse reactions were observed during the treatment of both groups.Conclusion:Shenmai Injection as an adjuvant therapy for SAP can improve clinical symptoms,reduce the severity of the condi-tion,and improve clinical prognosis.

Severe acute pancreatitisInflammatory responseAcute deficiency syndromeShenmai Injection

张飞虎、张双林、包巴根那、刘阳、牟海波、孔立

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山东中医药大学附属医院,山东济南 250011

内蒙古自治区国际蒙医医院,内蒙古呼和浩特 010065

重症急性胰腺炎 炎症反应 急性虚证 参麦注射液

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(9)