期刊文献+

疏肝解毒攻下法治疗ERCP术后相关并发症的研究

下载PDF
导出
摘要 目的:观察疏肝解毒攻下法中药灌肠颗粒对内镜下逆行胰胆管造影(ERCP)术后高淀粉血症等并发症的临床疗效。方法:将87例患者随机分为治疗组和对照组,对照组在ERCP术后,应用抗生素等一般基础治疗,并给予每小时0.25 mg生长抑素持续泵入72 h,治疗组在对照组基础上,ERCP术后立即给予疏肝解毒攻下法中药颗粒高位保留灌肠,200 m L/次,2次/d,连续3 d。观察两组治疗前后AMS的水平,PEP发生率,腹胀、上腹痛等并发症发生情况,并进行统计学分析。结果:治疗组与对照组比较,术后1 d治疗组在降低患者AMS水平、缓解上腹痛、消除腹胀方面优于对照组(P<0.05)。结论:ERCP术后应用疏肝解毒攻下法中药颗粒保留灌肠,可有效降低AMS水平,治疗上腹痛、腹胀等并发症。
出处 《辽宁中医杂志》 CAS 北大核心 2016年第3期552-553,共2页 Liaoning Journal of Traditional Chinese Medicine
基金 河南省科技厅科技攻关项目(132102310493)
  • 相关文献

参考文献6

  • 1Freeman ML,Guda NM.Prevention of post-ERCP pancreatitis:a comprehensive review[J].Gastrointest Endosc,2004,59:845-864. 被引量:1
  • 2Wang P,Li ZS,Liu F,et al.Risk factors for ERCP-related complications:a prospective muhicenter study[J].Am J Gastroenterol,2009,104:31-40. 被引量:1
  • 3李兆申,张文俊,潘雪,龚彪,智发朝,郭学刚,李培明,范志宁,孙文生,沈云志,麻树人,谢渭芬,陈旻湖,李延青.奥曲肽预防ERCP术后胰腺炎及高淀粉酶血症的多中心随机对照临床研究[J].中华消化内镜杂志,2004,21(5):301-305. 被引量:60
  • 4Manes G,Ardizzone S,Lombardi G,et al.Efficacy of postprocedure administration of gabexate mesylate in the prevention of post-ERCP pancreatitis:a randomized,controlled,multicenter study[J].Gastrointest Endosc,2007,65(7):982-987. 被引量:1
  • 5Rasoul Sotoudehmanesh,Morteza Khatibian,Shadi Ko lahdoozan,et al.Indomethacin May Reduce the Incidence and Severity of Acute Pancreatitis After ERCP[J].Am J Gastroenterol,2007,102:978-983. 被引量:1
  • 6杨国红,王晓,李春颖.中药四联疗法分期辨证优化治疗急性胰腺炎[J].中国实验方剂学杂志,2013,19(14):301-304. 被引量:16

二级参考文献26

  • 1许环应,徐一宁.中西医结合治疗急性出血坏死性胰腺炎38例[J].上海中医药杂志,1995,29(6):16-18. 被引量:4
  • 2沈卫星.急性胰腺炎的中医学定位和论治探讨[J].浙江中医杂志,2007,42(3):136-137. 被引量:18
  • 3Freeman ML, DiSario JA, Nelson DB, et al. Risk factors for post-ERCP pancreatitis: a prospective, multicenter study. Gastrointest Endosc ,2001,54:425-434. 被引量:1
  • 4Poon RT, Yeung C, Lo CM, et al. Prophylactic effect of somatostatin on post-ERCP pancreatitis:a randomized controlled trial. Gastrointest Endosc, 1999,49: 593 -598. 被引量:1
  • 5Cotton PB, Lehman G, Yennes J, et al. Endoscopic sphincterotomy complications and their management:an attempt at consensus. Gastrointest Endosc, 1991,37:383-393. 被引量:1
  • 6Loperfido S, Angelini G, Benedetti G, et al. Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study. Gastrointest Endosc, 1998,48:1-10. 被引量:1
  • 7Masci E, Toti G, Mariani A, et al. Complications of diagnostic and therapeutic ERCP:a prospective multicenter study. Am J Gastroenterol,2001,96 :417-423. 被引量:1
  • 8Manolakopoulos S, Avgerinos A, Vlachogiannakos J, et al. Octreotide versus hydrocortisone versus placebo in the prevention of post-ERCP pancreatitis: a multicenter randomized controlled trial. Gastrointest Endosc ,2002,55:470-475. 被引量:1
  • 9Freeman ML. Precut (access) sphincterotomy. Techniques in Gastrointest Endoscopy, 1999,1:40-48. 被引量:1
  • 10Cotton PB. Precut papillotomy: a risky technique for experts only.Gastrointest Endosc, 1989,35:578-579. 被引量:1

共引文献73

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部