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时间:2018-12-05
《乌司他丁、参麦联合治疗急性重症胰腺炎疗效观察》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、乌司他丁、参麦联合治疗急性重症胰腺炎疗效观察赵洪涛赵春清高立学(保定市第二医院普通外科河北保定071051)【摘要】目的:通过木课题研究以乌司他丁联合应用参麦注射液治疗急性重症胰腺炎,比较患者单独和联合用药的疗效。方法:选取木院2010年-2013年间收治的急性重症胰腺炎患者40例,随机分为两组:实验组(20例)予联合用药治疗,对照组(20例)予单独应用乌司他丁治疗。观察治疗前、后前血尿淀粉酶、血WBC、AST各指标均数、APACHEII评分及总有效率。结果:两组统计学意义明显(P<0.05>。结论:对于急性重症胰腺炎,乌司他丁与参麦注射液联合应用可控制病情的发展、提高治愈率,有重要
2、临床意义,值得推广。【关键词】重症急性胰腺炎;乌司他丁;参麦注射液【中图分类号】R587【文献标识码】A【文章编号】1004-6194(2015)01-0268-02CombinationofChinesetraditionalandWesternmedicinetoTreatingSevereacutePancreatitis.ZhaoHong-tao,ZhaoChun-qing,GaoLi-xue(TheSecondHospitalofBaoding,Generalsurgerydept,Baoding,071051)【Abstract】Objective:Resultsofou
3、rstudiesincurativeeffectofUlinastinandshenmaiinjectionagainstSevereacutePancreatitisarereportedinthispaper.TheeffectofapplyingUlinastinthesingle-drugtherapyandapplyingofUlinastinassociatedwithshenmaiinjectionaredifferent.Method:TheparticipantsweredrawnoutofpatientswithclinicallyconfirmedSeverea
4、cutePancreatitisofmineHospitalfrom2010to2013.TheSevereacutepancreaitisof40respectively.Thepatientsweredividedtwogroups:experimentalgroupandcomparativegroup,20casesineachgroup,experimentalgroup:combinationtherapywithUlinastinandShenmaiinjection,comparativegroup:single-drugtherapywithonlyResultsU
5、linastin.Dynamicindexinspectionwerappliedpre-andpost-therapy,includingbiood,urineamylase,WBC,ALT,APACHEIIcriteriaandtotaleffectiverate.Curativeeffectevaluationweremadebasedonthechangesoftheseindexes.Results:Insevereacutepancreaitispatients,there,sastatisticallysignificantdifferentbetweenexperim
6、entalgroupandcomparativegroup(P<0.05).Construction:ThecombinationUlinastinandShenmaiinjectionhavebeenprovetohavepositiveeffectinsevereacutepancreaitistreatment.Asitcouldslowtheprocessofsevereacutepancreaitisinearlystageandincreaserecoveryrete,thecombinationtherapyofUlinastinandShenmaiinjectioni
7、sworthbeingpopularizedinclinic.【keywords】Severeacutepancreaitis,Ulinastin,Shenmaiinjection急性胰腺炎是临床常见的急腹症。临床上根据症状、体征及化验指标可分为轻型急性胰腺炎和重症急性胰腺炎[1】,其中重症急性胰腺炎起病急、进展快,如不能尽快控制病情发展,死亡率极高,如何迅速控制病情发展,降低死亡率对于治疗至关重要。本研究分析应用西药乌司他丁联合改善微循环中药参麦注射液治
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