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[1]高敏,王微,符思.中西医结合治疗急性胰腺炎合并麻痹性肠梗阻的 临床观察[J].环球中医药,2015,8(05):546-549.[doi:10.3969/j.issn.16741749.2015.05.008]
　GAO Min,WANG Wei,FU Si..Clinical observation on the treatment of acute pancreatitis complicated with paralytic ileus by integrated traditional Chinese and western medicine[J].,2015,8(05):546-549.[doi:10.3969/j.issn.16741749.2015.05.008]
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中西医结合治疗急性胰腺炎合并麻痹性肠梗阻的 临床观察()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第8卷
期数:
2015年05期
页码:
546-549
栏目:
论著
出版日期:
2015-05-06

文章信息/Info

Title:
Clinical observation on the treatment of acute pancreatitis complicated with paralytic ileus by integrated traditional Chinese and western medicine
作者:
高敏; 王微; 符思
100029 北京，中日友好医院中医脾胃病（中医消化）科
Author(s):
GAO Min;  WANG Wei;  FU Si.
Department of Gastroenterology，ChinaJapan Friendship Hospital, Beijing 100029, China Corresponding author: FU Si, Email: zryhyygm@163.com
关键词:
急性胰腺炎; 麻痹性肠梗阻; 中医药; 灌肠; 外敷
Keywords:
Acute pancreatitis; Paralytic ileus; Traditional Chinese medicine; Enemata; External use
分类号:
R576
DOI:
10.3969/j.issn.16741749.2015.05.008
文献标志码:
A
摘要:
目的观察在西医治疗基础上使用中药灌肠配合芒硝外敷治疗急性胰腺炎合并麻痹性肠梗阻的临床疗效。方法将70例急性胰腺炎合并麻痹性肠梗阻患者随机分为治疗组和对照组各35人，2组均给予常规西医治疗，治疗组加用中药灌肠配合芒硝外敷，疗程7天。观察腹痛症状、血淀粉酶、临床疗效及并发症，记录第一次排气排便、开放饮食和住院的时间。结果治疗组第3天腹痛评分和血淀粉酶均较对照组低，差异有统计学意义（P=0020，P=0009）。治疗组第一次排气排便时间、开放饮食时间、住院时间均较对照组短，差异有统计学意义（P=0000、P=0000、P=0005、P=0001）。两组临床疗效及并发症比较，差异无统计学意义（P＞005）。结论在西医治疗基础上使用中药灌肠配合芒硝外敷治疗急性胰腺炎合并麻痹性肠梗阻，能够更快地缓解患者腹痛症状及降低血淀粉酶水平，并且能够缩短患者第一次排气排便时间、开放饮食时间及住院时间。
Abstract:
ObjectiveTo observe the clinical treatment effect of integrated traditional Chinese (TCM enema and external application of mirabilite) and western medicine on acute pancreatitis complicated with paralytic ileus. Methods70 patients with acute pancreatitis complicated with paralytic ileus were randomly divided into treatment group and control group, with 35 people in each group. Both groups received conventional western medicine treatment, and the treatment group received traditional Chinese medicine enema combined with external application of mirabilite in addition. The period of treatment was 7 days. The symptoms of abdominal pain, blood amylase level, clinical efficacy, and complications were observed. The first exhaust time, first defecation time, eating time, and hospitalization time were also recorded. ResultsOn the third day of treatment, the amylase level and pain score of the treatment group were both lower than those of the control group, and the differences were statistically significant (P=0.020, P=0.009). In treatment group, the first exhaust time, the first defecation time, eating time, and hospitalization time were shorter than the control group, and the differences were statistically significant (P=0000, P=0.000, P=0.005, P=0.001). Both the clinical efficacy and complications were not significantly different between the two groups (P＞0.05). Conclusion The treatment of acute pancreatitis complicated with paralytic ileus with integrated traditional Chinese and western medicine, can quickly relieve pain symptoms of patients, decrease the serum amylase level, and can shorten the patient first exhaust defecation time, eating time and hospitalization time.

参考文献/References:

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[5]EATOCK F C, CHONG P, MENEZES N, et al. A randomized study of early nasogastric versus nasojejunal feeding in severe acute pancreatitis[J]. The American Journal of Gastroenterology,2005, 100(2): 432439.
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相似文献/References:

[1]张喆 刘瑜 王微等.中西医结合治疗高脂血症性急性胰腺炎的临床观察[J].环球中医药,2014,7(06):430.
　ZHANG Zhe,LIU Yu,WANG Wei,et al.Treating hyperlipidemic acute pancreatitis with integrated traditional Chinese medicine and western medicine: a clinical research[J].,2014,7(05):430.
[2]刘瑜,符思,张喆,等.化浊理气法治疗轻型急性胰腺炎合并麻痹性肠梗阻体会[J].环球中医药,2013,6(10):755.

备注/Memo

备注/Memo:
基金项目：国家中医药管理局“十二五”重点专科建设项目 作者单位： 100029 北京，中日友好医院中医脾胃病（中医消化）科（高敏、王微、符思） 作者简介: 高敏( 1980- ) ，女，博士，主治医师。研究方向：中西医结合治疗消化系统疾病。Email: zryhyygm@163.com 通讯作者：符思( 1957- ) ，本科，主任医师，教授，硕士生导师。研究方向: 中医药治疗消化系统疾病。Email：zryhyyfs@163.com
更新日期/Last Update: 1900-01-01