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清胰承气汤联合芒硝外敷治疗急性胰腺炎临床疗效观察 被引量:4

Clinical Observation of Qingyi Chengqi Decoction Combined with Mirabilite External Application in the Treatment of Acute Pancreatitis
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摘要 目的:分析应用芒硝外敷与中药清胰承气汤联合治疗急性胰腺炎的临床疗效。方法:选取2019年10月-2020年12月期间因急性胰腺炎入院治疗的112例患者,随机分为治疗组(芒硝外敷与中药清胰承气汤联合治疗)与对照组(常规基础治疗),各56例。比较两组肛门恢复排气排便时间、治疗总有效率、腹部压痛消失时间及治疗前后C-反应蛋白(CRP)、白细胞(WBC)、尿淀粉酶(UAMY)、血清淀粉酶(AMS)。结果:治疗组患者治疗7天后白细胞计数及CRP水平均低于对照组,差异有统计学意义(P<0.05);治疗组总有效率高于对照组,组间差异显著(P<0.05);经治疗,治疗组患者腹痛腹胀缓解、肛门恢复排气排便时间短于对照组,差异有统计学意义(P<0.05)。结论:应用芒硝外敷与中药清胰承气汤联合治疗急性胰腺炎临床疗效较好,能够改善患者临床症状,减轻炎症反应。 Objective:To analyze the clinical effect of mirabilite external application and Qingyi Chengqi Decoction on acute pancreatitis.Methods:112 patients who were treated due to acute pancreatitis from October 2019 to December2020 were randomly divided into treatment group (treated with mirabilite external application and Qingyi Chengqi Decoction) and control group (treated with routine basic treatment),with 56 cases in each group.The recovery time of anal exhaust and defecation,the total effective rate,the disappearance time of abdominal tenderness,C-reactive protein (CRP),leukocyte (WBC),urinary amylase (UAMY)and serum amylase (AMS) before and after treatment were compared between the two groups.Results:The white blood cell count and CRP level in the treatment group were lower than those in the control group after 7 days of treatment(P<0.05);The total effective rate of the treatment group was higher than that of the control group(P<0.05);After treatment,the abdominal pain,abdominal distension,anal exhaust and defecation time in the treatment group were shorter than those in the control group(P<0.05).Conclusion:The combination of Glauber’s salt and traditional Chinese medicine can improve the clinical response of patients with acute pancreatitis.
作者 李红丽 Li Hongli(Second Department of Traditional Chinese Medicine,Pingdingshan First People's Hospital,Pingdingshan 467000,China)
出处 《亚太传统医药》 2022年第3期72-75,共4页 Asia-Pacific Traditional Medicine
关键词 急性胰腺炎 清胰承气汤 芒硝 临床研究 Acute Pancreatitis Qingyi Chengqi Decoction Mirabilite Clinical Research
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