复方丹参联合奥曲肽治疗急性胰腺炎疗效观察

    Octreotide combined with compound salvia miltiorrhiza injection for treatment of acute pancreatitis

    • 摘要: 目的:观察复方丹参注射液联合奥曲肽治疗急性胰腺炎(acute pancreatitis,AP)的疗效。方法:将44例AP患者随机分为对照组23例和观察组21例。对照组在常规禁食、胃肠减压等治疗的基础上,给予奥曲肽0.6mg加NS48ml以2ml/h (奥曲肽0.025mg/h)经微量静脉泵持续静脉泵注;观察组在对照组治疗基础上,予以复方丹参注射液250ml静脉滴注。观察并比较两组患者的症状、腹部体征消失的时间,住院时间,血、尿淀粉酶恢复正常时间。结果:观察组治疗后血、尿淀粉酶恢复正常时间均显著低于对照组(P<0.01),腹痛缓解时间、住院时间亦短于对照组(P<0.05),但两组疗效差异无统计学意义(P>0.05)。结论:复方丹参联合奥曲肽能明显改善AP患者的临床症状和体征。

       

      Abstract: Objective:To observe the effect of octreotide combined with compound salvia miltiorrhiza injection on patients with acute pancreatitis(AP).Methods:Forty-four patients with AP were randomly divided into control group 23 cases and observation group 21 cases.The control group,in addition to the routine therapy of forbidding food,decompressing stomach and intestines,were given intravenous pump injection of 0.6 mg octreotide in normal saline 48 ml at a rate of 2 ml/h(0.025 mg/h).The observation group received intravenousdrip of compound salvia miltiorrhiza injection of 250 ml besides the above therapy.The time of disappearance of the symptoms,abdominal signs,amylase of urine and blood,and the time of hospital stay were observed and compared.Results:The time of disappearance of amylase of urine and blood after treatment in observation group was shorter than that in the control group(P<0.01).And the time of disappearance of abdominal pain and hospital stay was shorter than that in the control group(P<0.05).Conclusions:Compound salvia miltiorrhiza combined with octreotide can obviously improve the symptoms and signs of patients with AP.

       

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