【摘要】 目的:评价中西医结合和单纯西药治疗对胰腺炎远期并发症控制的差异。方法:对国内中西医结合与单纯西药治疗胰腺炎的随机对照研究资料进行全面调研,利用RevMan4.2软件对7项随机对照的临床结果进行Meta分析。根据研究间异质性检验的结果采用相应的模型分析:固定效应模式。结果:①中西结合与单纯西药对胰腺炎远期并发症控制的合并检验分析,综合检验结果为:Z=3.54(P=0.0004),OR合并=0.32,95%的可信区间为(0.17,0.60);②敏感性分析显示结果可靠性较好,漏斗图分析结果未发现显著偏移。结论:经中西医结合治疗胰腺炎的病人远期并发症的发生率要低于单纯西药治疗胰腺炎的病人远期并发症的发生率;目前国内在研究中药治疗胰腺炎的临床实验中,设计仍不够严谨。更多还原

【Abstract】 Objective: To evaluate the difference of using combination of traditional Chinese medicine(TCM) with Western medicine and simple Western medicine on controlling the pancreatitis’ long-term complication.Methods: To study all of the randomized controlled clinical trails of using combination of TCM with Western medicine and simple Western medicine in China;Utilizing Revman 4.2 to Mete analyze seven Randomized controlled clinical trails.According to the heterogeneity docimastic result,we use fixed effect model.Result: The synthetic analysis result of using combination of TCM with Western medicine and simple Western medicine on controlling pancreatitis’ long-term complication is:Z=3.54(P=0.0004),merger OR =0.32,95% CI=(0.17,0.60).The analysis of sensitivity show that the result is authenticity.The result don’t get significant excursion in the funnel plots.Conclusion: The incidence rate is lower in these patients who use combination of TCM with Western medicine on controlling the pancreatitis’ long-term complication than the rate of who use simple Western medicine.At present,the clinical trial in studying TCM to control pancreatitis’ long-term complication do not rigorously design in our country.更多还原