[Treatment of severe acute biliary pancreatitis in the elderly by integrated traditional Chinese and Western medicine].
OBJECTIVE
To summarize the therapeutic effect of integrated traditional Chinese and Western medicine (ICWM) on severe acute biliary pancreatitis (SABP), and to discuss the opportunity of operation.


METHODS
The hospitalization duration, incidence of complications, operation transmitting rate and mortality were analyzed in 96 senile SABP patients (Group A) treated by ICWM, and 32 senile SABP patients treated by conventional Western medicine, they were hospitalized from January 2000 to December 2007.


RESULTS
(1) The average hospitalization duration in Group A and B was 28.2 +/- 11.3 days and 32.7 +/- 14.3 days respectively, showing insignificant difference between them (P>0.05); (2) The early stage incidence of complications being 29.2% (28/96) in Group A and 34.4% (11/32) in Group B, no significant difference between groups was shown, but a significant difference did show at the late stage, 36.5% (35/96) vs 53.1% (17/32), the incidence in Group A was lower significantly (P<0.05). (3) The two groups were not different in operation transmitting rate 36.4% (35/96) vs 43.8% (14/32), P>0.05. (4) The mortality in Group A, 21.9% (21/96) was lower than that in Group B, 37.5% (12/32), P <0.05.


CONCLUSIONS
ICWM has good effect in treating SABP, and the opportunity of operation transmitting should be decided according to whether there obstruction of biliary tract exists or not.
Sun
Nian-Feng
NF
Department of General Surgery, the Second Affiliated Hospital of Shandong University, Jinan. sunnianfeng@163.com
Zhang
Jian-Liang
JL
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002769:Cholelithiasis / Q000150:complications / Q000188:drug therapy*; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D055048:Integrative Medicine; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications / Q000188:drug therapy*; D008517:Phytotherapy
D004365:Drugs, Chinese Herbal