研究疾病:
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急性胰腺炎
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研究疾病代码:
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Target disease:
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acute pancreatitis
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Target disease code:
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研究类型:
Study type:
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观察性研究
Observational study
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研究设计:
Study design:
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非随机对照试验
Non randomized control
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研究所处阶段:
Study phase:
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其它
Others
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研究目的:
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本课题进行的是中西医结合治疗急性胰腺的前瞻性队列研究,观察中西医结合治疗的疗效,观察指标除了前人研究的一般症状(腹痛腹胀缓解时间、腹部压痛消失时间、住院时间等)、辅助检查(如CRP、血尿淀粉酶、CT等),还对免疫功能(如T细胞、B细胞、NK细胞)及急性胰腺炎活动评分系统(PASS)进行治疗前后对比;同时对患者出院后1、3、6月进行随访,评估急性胰腺炎发作期间暴露于中西医结合治疗与否的患者生活质量情况、再入院及出现其他并发症发生的情况,为中西医结合治疗的临床应用提供理论与实践依据。
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Objectives of Study:
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This project is a prospective cohort study on the treatment of acute pancreas with integrated traditional Chinese and Western medicine. To observe the curative effect of integrated traditional Chinese and Western medicine, the observation indicators are not only the general symptoms (abdominal pain and distention relief time, abdominal tenderness disappearance time, hospitalization time, etc.), auxiliary examinations (such as CRP, hematuria amylase, CT, etc.), but also the immune function (such as T cells, B cells, NK cells). ) At the same time, the patients were followed up 1, 3 and 6 months after discharge to evaluate the quality of life, re-admission and other complications of patients exposed to integrated traditional Chinese and Western medicine during the attack of acute pancreatitis, and to provide theoretical and practical basis for the clinical application of integrated traditional Chinese and Western medicine.
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药物成份或治疗方案详述:
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Description for medicine or protocol of treatment in detail:
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纳入标准:
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(1)符合2012年《亚特兰大分类标准修订版共识》中急性胰腺炎的诊断标准及轻中度急性胰腺炎诊断标准。①轻度急性胰腺炎满足以下情况之一,无器官功能衰竭以及局部或全身并发症,Ranson评分<3分,APACHEⅡ评分<8分,BISAP评分<3 分,MCTSI 评分<4 分。中度急性胰腺炎满足下列情况之一,Ranson评分≥3 分,APACHEⅡ评分≥8 分,BISAP 评分≥3 分,MCTSI 评分≥4 分,伴一过性器官功能障碍(48 h 内可自行恢复),或伴随局部或全身并发症,但不存在持续性器官功能障碍(48 h内不能自行恢复)。
(2)符合2017年《急性胰腺炎中医诊疗专家共识意见》中各症候标准。
(3)年龄18-75岁之间,生命体征稳定,性别不限。
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Inclusion criteria
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1. Meet the diagnostic criteria of acute pancreatitis and mild to moderate acute pancreatitis in the consensus of revised Atlanta Classification Standards in 2012; Mild acute pancreatitis satisfies one of the following conditions: no organ failure or local or systemic complications, Ranson score < 3, APACHE II score < 8, BISAP score < 3, MCTSI score < 4. Moderate acute pancreatitis can satisfy one of the following conditions: Ranson score (> 3), APACHE score (> 8), BISAP score (> 3), MCTSI score (> 4), transient sexual organ dysfunction (self-recovery within 48 hours), or local or systemic complications, but there is no persistent organ dysfunction (self-recovery within 48 hours);
2. Meets the criteria of symptoms in the consensus opinion of TCM experts on diagnosis and treatment of acute pancreatitis in 2017;
3. Male and female between 18 and 75 years old, the vital signs are stable.
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排除标准:
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参照《中药新药临床研究指导原则》及《中医消化病诊疗指南》制定如下标准:
(1)年龄小于18周岁、大于75岁。
(2)处于哺乳期、妊娠期,或备孕期妇女。
(3)严重心、脑、肝、肾等器官功能衰竭者。
(4)入院时即为重度急性胰腺炎者、需要行手术治疗者及需要入院时需要入住ICU者。
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Exclusion criteria:
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Referring to the Guiding Principles for Clinical Research of New Chinese Medicine and the Guidelines for Diagnosis and Treatment of Digestive Diseases in Traditional Chinese Medicine, the following criteria are formulated:
1. Women in lactation, pregnancy or pregnant period;
2. Severe heart, brain, liver, kidney and other organ failure;
3. Patients with severe acute pancreatitis, those who need surgical treatment and those who need ICU when they are admitted to hospital.
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研究实施时间:
Study execute time:
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从From
2019-05-01
至To
2020-05-31
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征募观察对象时间:
Recruiting time:
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从From
2019-05-01
至To
2020-01-01
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