中医内外合治治疗急性胰腺疗效研究进展

Research Progress on the Curative Effect of Internal and External Combined Treatment of Traditional Chinese Medicine on Acute Pancreas

摘要: 急性胰腺炎(acute pancreatitis, AP)是由多种病因引发胰酶异常激活，使胰腺自身消化，以胰腺局部炎性损伤为主要特征，可伴或不伴其他器官功能改变，属于临床常见的急腹症。其发病机制复杂，病情多变，易引起多种并发症，在治疗上，西医主要采取液体复苏，镇痛，营养支持等治疗，后期主要针对各种并发症进行对症处理。近年来，中医通过中药内服加外用联合西医常规处理方法治疗急性胰腺炎，在减少并发症的出现，缓解症状，改善预后等方面取得了很好的疗效，现将近年中医内外联合治疗急性胰腺炎的疗效研究进展作一综述，为完善临床治疗方案提供有益参考价值。

Abstract: Acute pancreatitis (AP) is the abnormal activation of pancreatic enzymes caused by various causes, which makes the pancreas digest itself, and is mainly characterized by local inflammatory damage to the pancreas and acute pancreatitis is a common clinical acute abdomen with or without other organ function changes. Its pathogenesis is complex, the condition is changeable, and it is easy to cause a variety of complications. In terms of treatment, western medicine mainly adopts liquid resuscitation, analgesia, nutritional support and other treatment. In the later stage, it mainly carries out symptomatic treatment for various complications. In recent years, traditional Chinese medicine has achieved good results in reducing complications, alleviating symptoms and improving prognosis in the treatment of acute pancreatitis through oral and external use of traditional Chinese medicine combined with conventional treatment of Western medicine. Now this paper summarizes the research progress of internal and external combination of traditional Chinese medicine in the treatment of acute pancreatitis in recent years, so as to provide useful reference value for improving the clinical treatment scheme.