中药清胰汤在重症急性胰腺炎治疗中的作用.docVIP

中药清胰汤在重急性胰腺炎治疗中的作用 赖 良 王洋 【摘要】 目的:研究中药清胰汤治疗重症急性胰腺炎（SAP）的临床疗效。 方法：132例SAP患者随机分为治疗组（70例）和对照组（62例），两组均给予常规治疗，治疗组加用清胰汤，每日一剂，取汁200ML，分四次从胃管注入。分别观察两组患者平均腹胀消退时间，平均禁食时间，平均住院时间，手术率，胰周感染率并加以比较。结果：治疗组的各项观察指标明显优于对照组，T检验：P0.05。结论：中药清胰汤能明显促进胃肠道功能恢复，减少肠道细菌移位，减轻急性炎症反应综合征，减轻胰腺损害，促进胰腺修复，提高疗效，缩短疗程。 【关键词】 清胰汤 重症急性胰腺炎 中西结合 The Use on Curative Effect of Chinese Medicine Qing Yi Tang in Severe Acute Pancreatitis Lailiang Department of General Surgery of NeiJiang hospital Atteched to ChongQing Medical University. NeiJiang 641000, China Obfective:To study the use on curative effect of Chinese medicine Qing Yi Tang in severe acute pancreatitis.Methods:132 cases of severe acute pancreatitis were randomly divided into 2 groups,The control group(n=62) and the treatment group(n=70). Routine treatment were given in both, otherwise, the chinese 作者单位:重庆医科大学附属内江医院肝胆外科(四川内江 641000) Email: lailiang51@ medicine Qing Yi Tang was used in the treatment group .Observing and checking two group of the operation rate ,The infection rate ,The time of abdominal distension removing and fasting and being hospitalized. Results: Every index of the treatment group is finer more than the control group. Conclusion:The Chinese medicine Qing Yi Tang showed their protective effects on gut barrier function by alleviating the damage of intestinal mucosa and microecologic disturbance following acute pancreatitis. As a result , the chances of bacterial translocation and enterogenic infection declined. These preparation might be raising the treatment effects, As a well,shortening the course of treatment. Key words Qing Yi Tang , Severe Acute Pancreatitis , Combining of Chinese medicine and Western medicine . 重症急性胰腺炎（SAP），起病急，病情重，发展快，并发症多，病死率高。1997年至2005年我院共收治SAP患者132例。现将中西医结合治疗情况报道如下： 临床资料 1.1 临床诊断标准 2003年12月中华消化病学分会胰腺病学组上海会议上制定的“中国急性胰腺炎诊治指南（草案）”。（1）临床上表现为急性、持续性腹痛，血清淀粉酶活性增高≥正常值上限的3倍，除外其他急腹症且具备下列之一者：局部并发症（胰腺坏死，假性囊肿，胰腺脓肿）；器官衰竭；Ranson评分≥3；APACHE-Ⅱ评分≥8；CT分级为D、E。 1．2 一般资料 132 例患者随机分为两组，治