The Research And Analysis Of Clinical Characteristic And TCM Intervention Status Of Acute Pancreatitis

Objective:To retrospectively analyze clinical data of the medical records of patients with acute pancreatitis,This paper summarized and analyzied clinical characteristic and intervention status of traditional Chinese medicine method of acute pancreatitis.,which provided theoretical reference of prevention and treament of acute pancreatitis.Methods:Making retrospective analysis of basic information,age,sex,seasonal incidence,predisposing factors,test results,diagnosis of traditional Chinese medicine and TCM treatment methods ofthe clinical data of 160 cases of acute pancreatitis,Collected in First Affiliated Hospital of Guangxi Medical University Digestive Diseases department from which in November 2010 to November 2015.And then the data were analyzed using the SPSS17.0 statistical software.Results:1.Male patients accounted for 103 among 160 patients,while female patients accounted for 57,so the male to female ratio of cases was 1.8:1.The morbidity increased significantly along with the increase of age in feamale,while the morbidity of male is mainly distributed in the middle age people.There was statistically significant diference in age and sex of incidence of acute pancreatitis(P<0.05).2.There was statistically significant difference in season of incidence of acute pancreatitis(P<0.05).The peak seasons were summer of 52 cases and autumn of 46 caseas.The analisis of incidence of the 24 solar terms Showed that The peak seasons were scorching and LIdong.3.The most common causes of acute pancreatitis is biliary tract disease.There were statistical differences in diverse etiology(P<0.05).There were statistically significant diference in etiology and sex of incidence of acute pancreatitis(P<0.05).Biliary tract diseases of females was more than that of males,while alcohol,improper diet and hyperlipidemia of males were more than that of females.There were statistically significant diference in etiology and age of incidence of acute pancreatitis(P<0.05).The highrisk population of biliary tract diseases was more than 71 years old,the highrisk population of hyperlipidemia was between the ages of4150 years old and the highrisk population of surgical trauma was between the ages of 5160 years old.There were no statistical differences in sesons of etiology.4.The TCM diagnosis of Acute pancreatitis by abdominal pain.There was significant difference in the seasonal distribution(P < 0.05),damp heat stagnation Syndrome was common seen in summer,the stagnation of liver qi stagnation syndrome was common seen in the spring,food stasis syndrome was common seen in the winter,and blood stasis syndrome was common seen in autumn,in the closed of less proportion of each season.5.Chinese medicine,enema and hot treatment of traditional Chinese medicine was given to treat acute pancreatitis,and Chinese herbal medicine including Dachai Hu decoction,Qingyi decoction,Dachengqi decoction.Compared with the treament of Western medicine,there was significant difference of hospitalization days in the treament of combined traditional Chinese medicine and Western medicine(P < 0.05),the time treatment in hospital are Chinese less than western.There was significant difference of therapeutic effects between the treament of Western medicine and treament of combined traditional Chinese medicine and Western medicine(P < 0.05).The traditional Chinese and Western medicine treatment of the total efficiency was 95.49%,the pure western medicine treatment of the total effective rate was 85.19%.Conclusions:1.The incidence of acute pancreatitis seen in male which mainly concentrated in the age of young and middleaged,cause drinking and hyperlipidemia,and the female mainly concentrated in the elderly,the cause is given priority to with biliary factors.There was no differences between etiology and seasonal distribution.There was significant difference in seasonsand solar terms and the disease etiology.The winter is given priority to with summer and autumn.The onset of throttle is given priority to with the limit of heat,the beginning of winter.2.The TCM diagnosis of Acute pancreatitis by abdominal pain;and the Syndrome Differentiation of TCM by stagnation of damp heat,There was significant differencein the distribution of syndromes,which considered the reason was closely related to climate,emotion;treatment of raditional Chinese medicine,enema with traditional Chinese medicine,and Chinese herbal medicine including Dachai Hu decoction,Qingyi decoction,Dachengqi decoction.Combine traditional Chinese and western medicine treatment than pure western medicine hospital time shortened,curative effect is better,worthy of promotion.