大黃紅藤消炎方佐治急性胰腺炎的臨床研究
發(fā)布時(shí)間:2018-05-02 22:08
本文選題:急性胰腺炎 + 中藥方劑 ; 參考:《中華中醫(yī)藥學(xué)刊》2017年07期
【摘要】:目的:探討中藥方劑大黃紅藤消炎方對(duì)急性胰腺炎的治療作用。方法:選取哈勵(lì)遜國(guó)際和平醫(yī)院消化內(nèi)科2015年1月—2016年9月收住的急性胰腺炎患者140例,采用隨機(jī)對(duì)照設(shè)計(jì)原則,依據(jù)隨機(jī)數(shù)字表將140例患者隨機(jī)分為對(duì)照組70例及實(shí)驗(yàn)組70例。對(duì)照組患者采用西醫(yī)常規(guī)方法;實(shí)驗(yàn)組患者在對(duì)照組治療方案基礎(chǔ)上加用大黃紅藤消炎方,兩組療程均12 d。觀察治療前、治療后7 d及12 d APACHEⅡ評(píng)分,監(jiān)測(cè)血淀粉酶、白細(xì)胞及血漿C反應(yīng)蛋白恢復(fù)正常時(shí)間,腹痛緩解時(shí)間、腹脹緩解時(shí)間,第1次自主排便時(shí)間,評(píng)價(jià)臨床療效。結(jié)果:兩組患者治療前APACHEⅡ評(píng)分無(wú)統(tǒng)計(jì)學(xué)差異(P0.05),治療7 d后、12 d后APACHEⅡ評(píng)分均降低(P0.05),且實(shí)驗(yàn)組降低幅度更顯著(P0.05);實(shí)驗(yàn)組患者的血淀粉酶、白細(xì)胞、血漿C反應(yīng)蛋白恢復(fù)正常時(shí)間均短于對(duì)照組患者(P0.05);實(shí)驗(yàn)組患者的腹痛緩解時(shí)間及腹脹緩解時(shí)間均比對(duì)照組有所縮短(均P0.05),且第1次自主排便時(shí)間也明顯短于對(duì)照組(P0.01)。結(jié)論:急性胰腺炎患者聯(lián)合應(yīng)用大黃紅藤消炎方可以有效改善APACHEⅡ評(píng)分,縮短血淀粉酶、白細(xì)胞及血漿C反應(yīng)蛋白恢復(fù)正常時(shí)間,較早緩解腹部癥狀。
[Abstract]:Objective: to investigate the therapeutic effect of Dahuang Hongteng Xiaoyan prescription on acute pancreatitis. Methods: 140 patients with acute pancreatitis received from January 2015 to September 2016 in Department of Digestive Medicine, Hallieson International Peace Hospital, were selected and randomized controlled design was used. 140 patients were randomly divided into control group (n = 70) and experimental group (n = 70). The patients in the control group were treated with routine western medicine, the patients in the experimental group were treated with rhubarb Hongteng anti-inflammatory prescription on the basis of the treatment plan of the control group, the course of treatment in both groups was 12 days. The APACHE 鈪,
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