Clinical Research Of Acute Pancreatitis With Combination Of Chinese And Western Medicine Treatment

Objective:Acute pancreatitis is a common acute abdomen in clinical in recent years due to the people's standard of living and eating habits changed, its incidence will also rise. The disease causes diverse, complex pathological changes, it is difficult to make a clinical diagnosis and treatment, and its case-fatality rate remains the highest in the first types of acute abdomen, which it becomes a difficult cases to abdominal surgery. After the 20th century and 90 years, with in-depth elucidation to the pathogenesis and pathophysiology of acute pancreatitis, it becomes the main body that conservative medical treatment based on comprehensive treatment for the treatment of acute pancreatitis., particularly, the overall case-fatality rate of acute pancreatitis reduced to 1～2% due to the use of dialectical phases of governance on the combination of Chinese and Western medicine(TCM-WM) treatment. Chinese medicine can improve microcirculation the pancreas and intestinal, prevent bacterial translocation, control of systemic inflammatory response, and reduce the role of multiple organ dysfunction. Practice has proved that TCM-WM therapy can not only significantly improve the symptoms and signs, but also alleviate the suffering of patients. The efficacy of the treatment of acute pancreatitis has been positive.Methods:According to pancreas surgery group of the China Branch of the Surgery Medical Group in 2000 revised diagnostic criteria for SAP,40 patients, with acute pancreatitis come from Hubei Province Chinese Medicine Hospital from January 2004 to December 2009, which admitted to screening out sub-standard cases. Those people were divided into control group and treatment group, thus it was retrospectively analyzed. The control group treated with western medicine only, while the patients of treatment group recept combination of Chinese and Western medicine (TCM-WM) treatment, which onging use of Qing-yi decoction based on the therapy of common western medicine. Then we observe abdominal symptoms, signs, the recovery of hemal and urinary amylase, the recovery of gastrointestinal function, degree of remission, as well as transfer surgery and complication ratein patients, and the effective rate of treatment.Results:Abdominal symptoms and signs improved in the early, hemal and urinary amylase, the recovery of gastrointestinal function in treatment group are earlier than the control group (P <0.05); as to acute phase transfer surgery, complications, the number of cases no significant difference between the two groups (P> 0.05); but the effective rate of treatment group was significantly higher (P<0.05).Conclusion:It has proved that TCM-WM therapy can significantly improve the condition in patients with acute pancreatitis, shorten the course of the disease and duration of significantly increased efficiency in the treatment of acute pancreatitis, which is significant clinical significance.