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长阳土家族自治人民医院重症医学科
纸质出版日期:2022,
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谭崇友, 覃雪莲, 高飞, 等. 复方丹参注射液联合生长抑素治疗高脂血症性急性胰腺炎的疗效观察[J]. 保健医学研究与实践, 2022,19(6):26-30.
Tan Chongyou, Qin Xuelian, Gao Fei, et al. Efficacy of C ompound Danshen Injection combined with growth inhibitor in the treatment of hyperlipidemic acute pancreatitis[J]. Health Medicine Research and Practice, 2022,19(6):26-30.
谭崇友, 覃雪莲, 高飞, 等. 复方丹参注射液联合生长抑素治疗高脂血症性急性胰腺炎的疗效观察[J]. 保健医学研究与实践, 2022,19(6):26-30. DOI:
Tan Chongyou, Qin Xuelian, Gao Fei, et al. Efficacy of C ompound Danshen Injection combined with growth inhibitor in the treatment of hyperlipidemic acute pancreatitis[J]. Health Medicine Research and Practice, 2022,19(6):26-30. DOI:
目的 探讨复方丹参注射液联合生长抑素治疗高脂血症性急性胰腺炎(HLAP)的临床疗效。方法 选取2016年4月—2018年4月宜昌市某医院收治的HLAP患者114例为研究对象
采用随机数字表法分为研究组与对照组
各57例。对照组患者在常规治疗基础上加用生长抑素
研究组患者在对照组基础上加用复方丹参注射液治疗
2组患者均持续治疗2周。比较2组患者临床疗效及相关症状指标
比较2组患者治疗前后凝血功能相关指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、D-二聚体(DD)]、炎症因子[C反应蛋白(CPR)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)]、三酰甘油(TG)、血淀粉酶(SAMY)、尿淀粉酶(UAMY)水平以及免疫功能相关指标[免疫球蛋白A(Ig A)、免疫球蛋白M(Ig M)、免疫球蛋白G(Ig G)]。结果 研究组患者治疗总有效率为92.98%
高于对照组的78.95%
差异有统计学意义(P<0.05)。研究组患者腹痛缓解时间、首次排便时间、胃肠减压时间、住院时长均短于对照组
差异均有统计学意义(P<0.05)。治疗后
2组患者APTT、PT均长于治疗前
且研究组长于对照组
差异均有统计学意义(P<0.05)。治疗后
2组患者DD、CRP、TNF-α、IL-6、TG、SAMY、UAMY水平均低于治疗前
且研究组低于对照组
差异均有统计学意义(P<0.05)。治疗后
2组患者Ig A、Ig M、Ig G水平均高于治疗前
且研究组高于对照组
差异均有统计学意义(P<0.05)。结论丹参注射液联合生长抑素对HLAP具有良好的治疗效果
可有效改善患者凝血功能、免疫功能
减轻炎症反应
降低TG、SAMY、UAMY水平
在临床具有良好的应用前景。
Objective To explore the clinical efficacy of Compound Danshen Injection combined with growth inhibitor in the treatment of hyperlipidemic acute pancreatitis(HLAP). Methods A total of 114 patients with(HLAP) admitted to a hospital in Yichang from April 2016 to April 2018 were selected as subjects
and were assigned to a study group and a control group using random number table method
with 57 cases in each group. The patients in the control group received conventional western medicine
while the patients in the study group received the Compound Danshen Injection combined with growth inhibitor in addition to the conventional western medicine
and patients in both groups were treated continuously for 2 weeks. The clinical efficacy and related symptom indexes of patients in the two groups were compared
and the indexes related to coagulation function [activated partial thromboplastin time(APTT)
prothrombin time(PT)
D-dimer(DD)]
inflammatory factors [C-reactive protein(CPR)
tumor necrosis factor-α(TNF-α)
interleukin-6(IL-6)]
triacylglycerol(TG)
and serum amylase(SAMY)
urinary amylase(UAMY) levels
and immune function-related indexes [immunoglobulin A(Ig A)
immunoglobulin M(Ig M)
immunoglobulin G(Ig G)] were compared in the two groups before and after treatment. Results The total effective rate of treatment for patients in the study group was 92.98%
which was higher than that of the control group(78.95%)
and the difference was statistically significant(P<0.05). The time to abdominal pain relief
time to first bowel movement
time to gastrointestinal decompression and length of hospital stay in the study group were shorter than those in the control group
and the differences were statistically significant(P<0.05). After treatment
APTT and PT were longer in the 2 groups than before treatment
and with the study group longer than the control group
and the differences were statistically significant(P<0.05). The levels of DD
CRP
TNF-α
IL-6
TG
SAMY and UAMY were lower than those before treatment in both groups
with the study group lower than the control group
and the differences were statistically significant(P<0.05). The levels of Ig A
Ig M and Ig G in the 2 groups were higher than those before treatment
with the study group higher than the control group
and the differences were statistically significant(P<0.05). Conclusion The Compound Danshen injection in combination with growth inhibitor has good therapeutic effect on HLAP
which can effectively improve patients’ coagulation function
inflammatory response and immune function
and reduce TG
SAMY and UAMY levels. These benefits justify a wider application prospects of this therapy in clinical practice.
复方单参注射液生长抑素高脂血症性急性胰腺炎
Compound danshen injectionGrowth inhibitorHyperlipidemic acute pancreatitis
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