目的观察中西医结合治疗急性重症胰腺炎(SAP)的临床治疗效果。方法44例患者随机分为治疗组和对照组,治疗组24例采用清胰汤为主方加减并结合西医治疗。对照组20例单纯采用西医治疗。结果治疗组的手术率、并发症明显低于对照组(P<0.05),住院时间及肠功能恢复时间明显低于对照组(P<0.05)。结论中西医结合治疗急性重症胰腺炎疗效明显,优于单纯西医治疗。 Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of acute severe pancreatitis (SAP). Methods Forty-four patients were randomly divided into treatment group and control group. The treatment group (24 cases) was treated with Qingyitang decoction combined with Western medicine. The control group of 20 patients treated with Western medicine alone. Results The operation rate and complications in the treatment group were significantly lower than those in the control group (P <0.05). The length of hospital stay and recovery of intestinal function in the treatment group were significantly lower than those in the control group (P <0.05). Conclusion The treatment of acute severe acute pancreatitis with traditional Chinese and western medicine has obvious curative effect, which is better than that of western medicine alone.