摘要
目的探讨早期应用大承气汤联合常规西医治疗重症急性胰腺炎(SAP)的临床疗效。方法将本院2006年6月～2009年6月收治的SAP患者45例随机分为治疗组23例和对照组22例,每组均接受西医常规治疗。在此基础上治疗组给予鼻肠管内注入大承气汤,观察比较两组患者症状缓解时间、AMY恢复时间、CT变化情况、治愈率、住院时间。结果治疗组与对照组比较,腹痛缓解时间、肠功能恢复时间、SIRS改善时间、AMY恢复时间及住院时间均明显缩短,总有效率明显提高,组间比较差异有统计学意义(P<0.05)。结论早期联合应用大承气汤治疗SAP可控制病情,改善临床症状,提高治愈率,缩短住院时间。
Objective To explore the clinical efficacy of Dachengqi Decoction combined with routine western medicine in the treatment of early severe acute pancreatitis（SAP）.Methods Forty five cases of SAP admitted in our hospital from June 2006 to June 2009 were randomly divided into two groups.22 cases in control group were given the western medicine con servative treatment,while 23 cases in treatment group were given the nasal tube into the Dachengqi decoction based on control group.The relief time of clinical symptoms,recovery time of AMY,the change of the CT,the cure rate and the hos pitalization time were detected.Results The results of treatment group,remission time of the stomache,the recovery time of bowel function,recovery time of SIRS,AMY recovery time and length of hospital stay were significantly shorter than those in the control group,the total effective rate of treatment group was significantly higher than that of control group.The dif ference was statistically significant（P 〈0.05）.Conclusion It is revealed that Dachengqi Decoction added with routine western medicine can control illdevelorpment,improve clinical symptoms,incresethe cure rate,and shorten the hospitalized days.
出处
《中国当代医药》
2012年第35期108-109,共2页
China Modern Medicine
关键词
重症急性胰腺炎
中西医结合疗法
大承气汤
鼻肠管注入
Severe acute pancreatitis
Combination of traditional Chinese and western medicine treatment
Dachengqi Decoction
Nasointestinal tube feeding
