论文部分内容阅读
目的:研究CT分级对清胰汤联合激素治疗急性胰腺炎(AP)疗效的评估价值。方法:收集本院消化内科54例AP患者,入院后在善得定治疗的基础上加用中药配方清胰汤(联合组),以同期单纯采用善得定治疗的30例AP患者作为对照组,观察2组治疗效果,并重点观察治疗组治疗前后CT影像Balthazar分级与疗效的相关性。结果:总有效率治疗组为94.44%,对照组为80.00%,2组比较,差异在有统计学意义(P<0.05)。不同CT分级的AP患者CT表现不同,CT能较好的观察AP的病变及转归程度;观察组治疗后患者CT分级轻度AP占92.59%(50/54),较治疗前轻度AP的62.93%(34/54)升高,差异有统计学意义(P<0.05)。结论:清胰汤联合激素可作为AP的有效治疗方法;CT扫描及分级能较好的观察反映AP病变和治疗病情转归程度,可为临床治疗疗效评估提供重要支持。
Objective: To evaluate the value of CT classification in the treatment of acute pancreatitis (AP) with Qingyitang combined with hormone. Methods: A total of 54 patients with AP who were admitted to our hospital were enrolled in this study. After the treatment, 30 cases of AP patients treated with ZD was used as the control group . The therapeutic effects of the two groups were observed, and the correlation between the Balthazar grade and the curative effect of CT images before and after treatment in the treatment group was observed. Results: The total effective rate was 94.44% in the treatment group and 80.00% in the control group. There was significant difference between the two groups (P <0.05). The CT findings of AP patients with different CT grading were different. CT could better observe the pathological changes and prognosis of AP. CT grade mild AP accounted for 92.59% (50/54) in observation group, which was lower than that before treatment 62.93% (34/54), the difference was statistically significant (P <0.05). Conclusion: Qingyitang combined with hormone can be used as an effective treatment of AP; CT scan and grading can better reflect the degree of AP lesions and the prognosis of treatment, which can provide important support for the evaluation of clinical curative effect.