参麦注射液辅助治疗慢性胰腺炎急性发作临床研究
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Clinical Study on Shenmai Injection for Acute Attack of Chronic Pancreatitis
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    摘要:

    目的:观察参麦注射液辅助治疗慢性胰腺炎急性发作的临床疗效。方法:将老年慢性胰腺炎患者120 例随机分为观察组和对照组,每组60 例。对照组采用西医基础对症治疗,观察组在对照组治疗的基础上加用参麦注射液静脉滴注,比较2 组治疗前后中医证候积分,血、尿淀粉酶水平变化情况,以及2 组总体临床疗效。结果:总有效率观察组为88.33%,对照组为70.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组患者腹痛、腹胀、恶心、呕吐等证候积分均较治疗前明显降低(P<0.05);且观察组上述各项积分均明显低于对照组(P<0.05)。治疗后,2 组患者血、尿淀粉酶水平均较治疗前明显降低(P<0.05);且观察组血、尿淀粉酶水平均明显低于对照组(P<0.05)。结论:在西医对症治疗的基础上,加用参麦注射液辅助治疗慢性胰腺炎急性发作疗效肯定,可显著改善患者临床症状,改善血、尿淀粉酶水平。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Shenmai injection for acute attack of chronic pancreatitis. Methods:A total of 120 cases of senile patients with chronic pancreatitis were randomly divided into the observation group and the control group,60 cases in each group. The control group was given symptomatic treatment in western medicine, and the observation group was additionally given intravenous infusion of Shenmai injection based on the treatment of the control group. Changes in Chinese medicine syndrome scores, and levels of blood and urine amylase before and after treatment as well as the total clinical effect in the two groups were compared. Results:The total effective rate was 88.33% in the observation group and 70.00% in the control group,the difference being significant(P<0.05). After treatment,syndrome scores including abdominal pain,abdominal distension,nausea and vomiting in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the scores in the observation group were significantly lower than those in the control group(P<0.05). After treatment, the levels of blood and urine amylase in the two groups were significantly decreased when compared with those before treatment(P<0.05); the levels in the observation group were significantly lower than those in the control group(P<0.05). Conclusion: Based on symptomatic treatment in western medicine, the additional application of Shenmai injection has definite curative effect in treating acute attack of chronic pancreatitis,which can significantly improve the clinical symptoms and the levels of blood and urine amylase.

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陈卫阳,张兴龙,丁文元.参麦注射液辅助治疗慢性胰腺炎急性发作临床研究[J].新中医,2020,52(19):72-74

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  • 在线发布日期: 2020-10-12
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