[1]王原,余亮科,韩秀红,等.加味大柴胡汤联合活瓣式囊肿-胃内引流术治疗老年假性胰腺囊肿58例[J].西部中医药,2013,26(09):7-9.
　WANG Yuan,YU Liangke,HAN Xiuhong,et al.Modified DaChaiHuTang Combined with Valve Type Cyst-gastric Drainage in Treating 58 Senile Patients with Pancreatic Pseudocyst[J].Western Journal of Traditional Chinese Medicine,2013,26(09):7-9.
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加味大柴胡汤联合活瓣式囊肿-胃内引流术治疗老年假性胰腺囊肿58例
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年09期
页码:
7-9
栏目:
出版日期:
2013-09-15

文章信息/Info

Title:
Modified DaChaiHuTang Combined with Valve Type Cyst-gastric Drainage in Treating 58 Senile Patients with Pancreatic Pseudocyst
文章编号:
1004-6852(2013)09-0007-03
作者:
王原1，余亮科1，韩秀红1，袁丽艳2，郭红1，张莹1
1 河北联合大学附属医院，河北 唐山 063000； 2 河北联合大学附属医院唐海县医院
Author(s):
WANG Yuan1, YU Liangke1, HAN Xiuhong1, YUAN Liyan2, GUO Hong1, ZHANG Ying1
1 Affiliated Hospital of Hebei United University, Tangshan 063000, China; 2 Tanghai County Hospital Affiliated to Hebei United University
关键词:
假性胰腺囊肿; 加味大柴胡汤; 囊肿-胃内引流术; 老年人
Keywords:
pancreatic pseudocyst;  modified DaChaiHuTang;  cyst-gastric drainage;  senile patients
分类号:
R657.5
文献标志码:
A
摘要:
目的：观察加味大柴胡汤联合活瓣式囊肿-胃内引流术治疗老年假性胰腺囊肿的临床疗效。方法：将116例患者随机分为观察组、对照组各58例。2组均采用活瓣式囊肿-胃内引流术治疗； 观察组于入院诊断明确即加用加味大柴胡汤，1剂/d，连续服用15天。结果：痊愈率观察组为77.59%，对照组为55.17%，2组相比差异显著(P＜0.05)。总有效率观察组为89.66%，对照组为67.24%，2组相比差异显著(P＜0.05)。纳差、腹胀、恶心、呕吐、腹水等临床症状积分、血尿淀粉酶术后第3天与入院时比较，差异显著(P＜0.05)；术后第3天2组组间比较，差异显著(P＜0.05)；对照组手术前与入院时比较无显著差异(P＞0.05)；观察组手术前与入院时比较，有显著差异(P＜0.05)。观察组复发1例（1.72%），对照组复发6例（10.34%），2组复发率比较差异显著(P＜0.05)。结论：加味大柴胡汤联合活瓣式囊肿-胃内引流术治疗老年假性胰腺囊肿临床疗效显著，可较快减轻临床症状，降低血尿淀粉酶水平。
Abstract:
Objective: To observe therapeutic effects of modified DaChaiHuTang and valve type cyst-gastric drainage in treating senile patients with pancreatic pseudocyst. Method: All 116 patients were randomized into the observation group and the control group. Both groups received valve type cyst-gastric drainage; the observation group also took modified DaChaiHuTang, one dose per day for 15 days consecutively. Result: Cure rate of the observation group was 77.59%, higher than 55.17% of the control group with significant difference (P＜0.05). Total effective rate of both groups were 89.66% and 67.24%, the comparison between both groups showed significant difference(P＜0.05). the difference was significant when clinical symptom scale of anepithymia, abdominal distention, nausea, vomiting, ascites and hematuria amylase after surgery at the 3rd day were compared with those at hospitalized time (P＜0.05); the comparison between both groups at the 3rd day after surgery demonstrated significant difference (P＜0.05); the comparison of the control group between before surgery and hospitalized time had no significant difference (P＞0.05); it had significant difference of the observation group (P＜0.05). There were one case relapse in the observation group (1.72%) and six cases in the control group (10.34%), the comparison between both groups in relapse rate showed significant difference (P＜0.05). Conclusion: Modified DaChaiHuTang and valve type cyst-gastric drainage are effective in treating senile patients with pancreatic pseudocyst, the treatment could relieve clinical symptom rapidly and decrease the level of hematuria amylase.

备注/Memo

备注/Memo:
收稿日期：2013-03-05 作者简介：王原(1971—)，女，硕士学位，副主任医师，副教授。研究方向：胰腺及其相关疾病的诊治。
更新日期/Last Update: 2013-09-15