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大柴胡汤联合间苯三酚对胰腺炎患者的疗效及对血清白细胞介素-6和D-二聚体水平的影响
王健宇,刘亚男,陈海洋,彭玉亮,彭强
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四川省资阳市中心医院 肝胆胰外科四川资阳 641300;四川省资阳市中心医院 神经外科四川资阳 641300;四川省资阳市中心医院中医肛肠科四川资阳 641300
摘要:
目的:探究大柴胡汤联合间苯三酚对胰腺炎患者的疗效及对血清白细胞介素-6(IL-6)、D-二聚体(D-D)水平的影响。方法:选取我院2022年4月—2024年4月收治的64例胰腺炎患者,随机分为联合组(n=32)和对照组(n=32)。对照组在常规治疗的基础上给予间苯三酚治疗,联合组在对照组基础上给予大柴胡汤治疗。比较两组临床疗效、治疗前后的超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、IL-6、血钙、血淀粉酶和尿淀粉酶、D-D水平,以及中医证候积分与不良反应。结果:联合组的总有效率为93.75%,明显高于对照组65.62%,差异有统计学意义(P <0.05)。治疗后,联合组的小便短赤、口臭等7项中医证候积分、hs-CRP、TNF-α、IL-6、血淀粉酶、尿淀粉酶、D-D低于对照组,差异有统计学意义(P <0.05);两组患者的血钙水平较治疗前明显提升,且联合组高于对照组,差异有统计学意义(P <0.05);联合组不良反应发生率低于对照组,差异有统计学意义(P <0.05)。结论:大柴胡汤联合间苯三酚能调节胰腺炎患者的炎症因子和淀粉酶水平,改善凝血水平,安全性高,效果明显。
关键词:  胰腺炎  大柴胡汤  间苯三酚  临床疗效  D-二聚体
DOI:10.3969/j.issn.1007-6948.2026.01.012
投稿时间:2025-05-15
基金项目:2023年度资阳市医学科学课题项目(KY2023082)
Therapeutic effect of Dachaihu decoction combined with phloroglucinol on patients with pancreatitis and its impact on serum IL-6 and D-D levels
WANG Jian-yu,LIU Ya-nan,CHEN Hai-yang
Abstract:
Objective To explore the therapeutic effect of Dachaihu decoction combined with phloroglucinol on patients with pancreatitis and its impact on serum levels of interleukin-6 (IL-6) and D-dimer (D-D). Methods A total of 64 patients with pancreatitis treated from April 2022 to April 2024 were selected as the observation subjects. All patients were randomly separated into a combination group (n=32) and a control group (n=32) according to the treatment method. The control group was treated with resorcinol on the basis of conventional treatment, and the combined group was treated with Dachaihu decoction on the basis of the control group. The clinical efficacy, levels of high-sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-α (TNF-α), IL-6, blood calcium, blood amylase and urine amylase, D-D levels before and after treatment, and traditional Chinese medicine syndrome scores and adverse reactions were compared between two groups. Results The therapeutic effect of the combination group (93.75%) was greatly higher than that of the control group (65.62%) (P <0.05). After treatment, the decreases in seven scores of traditional Chinese medicine syndromes including short and red urine, bad breath, etc., hs-CRP, TNF-α, IL-6, blood amylase, urinary amylase and D-D in the combined group were greatly less than those in the control group (P <0.05). The blood calcium level of the two groups showed a great increase compared to before treatment, and the degree of increase in the combination group was higher than that in the control group (P <0.05). The adverse reactions in the combination group were greatly lower than those in the control group (P <0.05). Conclusion The combination of Dachaihu decoction and phloroglucinol can regulate the levels of inflammatory factors and amylase levels , improve coagulation levels, have high safety, and great effects.
Key words:  Pancreatitis  Dachaihu decoction  phloroglucinol  clinical efficacy  D-dimer

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