Liang YY, Huang LF, Wang JY. Value of continuous blood purification combined with
Qingyi Lidan granules in treatment of severe acute pancreatitis.
Shijie Huaren Xiaohua Zazhi 2018;
26:735-741. [DOI:
10.11569/wcjd.v26.i12.735]
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Abstract
AIM
To observe the effect of continuous blood purification combined with Qingyi Lidan granules in patients with severe acute pancreatitis with regard to biochemical indexes, inflammatory indexes, and therapeutic effects.
METHODS
The clinical data of 150 patients with severe acute pancreatitis treated at Shaoxing Second Hospital from April 2012 to April 2017 were retrospectively analyzed. Among them, 70 patients were given continuous blood purification therapy as a control group, and the other 80 patients were given continuous blood purification combined with Qingyi Lidan granules based on conventional therapy, as an observation group. Biochemical indicators, inflammatory indicators, APACHE Ⅱ score, CTSI score, and therapeutic effects were compared between the two groups.
RESULTS
After treatment, APACHE II score was significantly lower in the observation group than in the control group (10.22 ± 2.58 vs 14.03 ± 2.91, P < 0.05). The time to disappearance of abdominal distension and abdominal pain and hospital stay were significantly shorter in the observation group than in the control group (P < 0.05). AMS, LPS, Cr, AST, ALT, and PCT in the observation group were significantly lower than those in the control group (P < 0.05). The levels of IL-8, IL-6, TNF-α, HSP70, HSP72, and HMGB1 in the observation group were also significantly lower than those in the control group (P < 0.05). The total effective rate was significantly higher in the observation group than in the control group (93.75% vs 71.43%, P < 0.05). The mortality rate did not differ significantly between the control group and observation group (8.57% vs 6.25%). The incidence of complications in the control group was significantly higher than that of the observation group (28.57% vs 12.5%, P < 0.05).
CONCLUSION
Continuous blood purification combined with Qingyi Lidan granules in patients with severe acute pancreatitis can significantly reduce the inflammatory response and improve biochemical indexes and therapeutic effects.
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