加味大承气汤对急性胆源性胰腺炎疗效分析和护理体会.docVIP

加味大承气汤对急性胆源性胰腺炎疗效分析和护理体会 　　【摘要】 目的 探讨急性胆源性胰腺炎(ABP)的临床特点和加味大承气汤的治疗效果和护理体会。方法 对89例ABP患者随机分成治疗组和对照组,治疗组在常规治疗基础上加用加味大承气汤,而对照组仅用常规治疗,观察两组的腹痛缓解时间、腹部压痛缓解时间和血淀粉酶恢复正常时间及治疗有效率等指标。结果 腹痛缓解时间治疗组(3.13±1.29)d,对照组(6.90±2.45)d(P 　　【关键词】急性胆源性胰腺炎;治疗;加味大承气汤;护理 　　 　　Analysis and nurse of acute biliary pancreatitis by traditional Chinese medicine-DA 　　 　　LI Miao-zhi,ZENG Li-yin,ZHANG Juan.Shenzhen 4th Hospital,Guangdong,Shenzhen 518033,China 　　 　　? 　　作者单位:518033广东省深圳?第四人民医院 　　【Abstract】 Objective To study the clinic characteristic of acute biliary pancreatitis and the efficacy of traditional Chinese medicine-DA CHENG QI TANG.Methods 89 acute biliary pancreatitis patients were divided to treatment group and control group by occasion,treatment group were received the therapy of traditional Chinese medicine-DA CHENG QI TANG.Results Acute biliary pancreatitis patients often have abdominal pain,abdominal distension,are not easy to remove stool and infected with biliary duct.There is significant difference between treatment group and control group in the time of abdominal pain disappearing,the time of serum amylase recovering.Conclusion Traditional Chinese medicine-DA CHENG QI TANG for acute biliary pancreatitis is relatively effective,It was able to get satisfactorily effect of SAP after combination of Traditional Chinese medicine with Western medicine and nurse-given from differentiation of symptoms and signs. 　　【Key words】 Acute biliary pancreatitis;Treatment;DA CHENG QI TANG; Nurse 　　 　　急性胆源性胰腺炎(acutebiliarypancreatitis,ABP)是由于胆总管下段结石阻塞或十二指肠乳头炎症水肿造成胆汁胰液的排出障碍引起,随着胆管结石发病率的增加,ABP的发病也有增加的趋势。2003年1月至2007年12月我院共收治急性胆源性胰腺炎89例,经中西医结合治疗和辨证施护,取得满意疗效,现将护理体会总结如下。 　　1 资料与方法 　　1.1 一般资料 89例患者,男43例,女46例;年龄18~79岁。发病至就诊时间48 h内59例,3~7 d 30例;临床表现为腹痛89例(100%),呈???续性胀痛或钝痛,部分患者伴阵发性绞痛加剧,发热61例(68.5%),腹胀72例(80.9%),呕吐42例(47.2%);所有病例均有血淀粉酶升高(100%),出现感染中毒性肝损害62例(69.7%),胆红素升高63例(70.8%),血白细胞升高80例(89.9%)。按1996年第六届胰腺外科学术会议“急性胰腺炎的临床诊断和分级标准[1]”,重症ABP28例,轻症61例。 　　1.2 ABP诊断标准 ① 符合急性胰腺炎标准;② B超或CT发现胆囊结石、胆总管结石、胆总