生大黄及轻质液状石蜡灌胃治疗急性胰腺炎临床分析.docVIP

生大黄及轻质液状石蜡灌胃治疗急性胰腺炎临床分析 　　[摘要]目的 探讨生大黄及轻质液状石蜡灌胃治疗急性胰腺炎临床效果。方法 选取我院急诊科2014年1月～2016年8月住院的94例急性胰腺炎患者作为研究对象，随机分为对照组和治疗组，每组各46例。对照组患者采用常规治疗，治疗组在常规治疗的基础上配以100 ml生大黄液及轻质液状石蜡经胃管灌注。比较两组患者肛门排气时间、腹痛消失时间、第一次通便时间、C反应蛋白（CRP）和血淀粉酶降至正常的时间，观察两组患者治疗前后APACHE-Ⅱ评分、Balthazar CT评分差异。结果 治疗组患者肛门排气时间，腹痛消失时间、第一次通便时间、CRP及血淀粉酶降至正常的时间明显短于对照组，差异均有统计学意义（P0.05）。结论 生大黄及轻质液状石蜡灌胃治疗急性胰腺炎，改善患者肛门排气时间、腹痛消失时间、第一次通便时间，明显缩短CRP及血淀粉酶降至正常的时间，同时能明显降低APACHE-Ⅱ评分。 　　[关键词]急性胰腺炎；生大黄；轻质液状石蜡；灌胃；疗效 　　[中图分类号] R576 [文献标识码] A [文章编号] 1674-4721（2018）4（c）-0045-03 　　Clinical analysis of rahrhubarb combined with light liquid paraffin in the treatment of acute pancreatitis 　　HU Hua-bin1 GUO Yan-xiong2▲ 　　Department of Emergency，the First People′s Hospital of Chenzhou City，Hu′nan Province，Chenzhou 423000，China 　　[Abstract]Objective To observe the clinical effect of rawrhubarb combined with light liquid paraffin in treatment of acute pancreatitis （AP）.Methods A total of 94 patients with AP in emergency department from January 2014 to August 2016 in our hospital were randomly divided into control group and treatment group，46 cases in each group.Control group patients were given standrad treatment，the treatment group was treated with 100 ml raw rhubarb fluid combined with light liquid paraffin by gastric tube on the basis of standard treatment.The anal exhaust time，remission time of abdominal pain，the first laxative time and recovered time of CRP and blood amylase between the two groups were compared，at the same time，the differences of APACHE-Ⅱscore，Balthazar CT score before and after treatment were observed.Results Anal exhaust time，remission time of abdominal pain，the first laxative time were significantly shorter than those in the control group，recovered time of CRP and blood amylase in the treatment group were also significantly shorter than that in the control group.The differences were statistically significant（P0.05）.Conclusion Therapy of raw rhubarb combined with light liquid paraffin in acute pancreatitis patients c