结肠途径治疗机辅助治疗急性胰腺炎76例剖析.docVIP

结肠途径治疗机辅助治疗急性胰腺炎76例剖析 　　[摘要] 目的:观察结肠途径治疗机辅助治疗急性胰腺炎的疗效。方法:在传统治疗方法的基础上,观察组辅以结肠途径治疗机高位灌注大黄浓煎液,对照组辅以大黄浓煎液保留灌肠,对比观察分析两组的疗效。结果:结肠途径治疗机辅助治疗急性胰腺炎可迅速获得疗效,明显缩短疗程。结论:结肠途径治疗机在急性胰腺炎的辅助治疗中作用显著。 　　[关键词] 结肠途径治疗机;急性胰腺炎;高位灌注;大黄浓煎液 　　[中图分类号] R657.51[文献标识码]A [文章编号]1673-7210(2010)05(c)-047-02 　　 　　Analysis of using colon therapy system to cure 76 cases of acute pancreatitis 　　SHI Li1, LIU Jinping2 　　(1.Department of Gastroenterology, the Affiliated Hospital of Baicheng Medical College, Baicheng 137000, China; 2.Department of General Surgery, the Affiliated Hospital of Baicheng Medical College, Baicheng 137000, China) 　　[Abstract] Objective: To study the effects of colon therapy systerm treatment of acute pancreatitis. Methods: Based on the traditional methods, observation group in which high perfusion concentrated decoction of Rhubarb using colon therapy systerm was performed and control group in which concentrated decoction of Rhubarb retention enema was applied, the treatment effects of two groups were compared. Results: Colon therapy systerm on the treatment of acute pancreatitis, the effect could be quickly obtained and the course of treatment could be significantly shortened. Conclusion: Colon therapy systerm on the treatment of acute pancreatitis plays an important role in adjuvant therapy. 　　[Key words] Colon therapy system; Acute pancreatitis; High perfusion; Concentrated decoction of Rhubarb 　　 　　急性胰腺炎是常见的急腹症之一,传统的治疗方法是禁食、胃肠减压、抑制胰液及胰酶分泌以及支持对症治疗,而我院还辅以大黄浓煎液保留灌肠。自2003年12月以来,笔者在传统治疗的基础上,采用结肠途径治疗机行全自动高位结肠灌洗后,再以大黄浓煎液高位灌注治疗,明显提高了疗效。现报道如下: 　　1 资料与方法 　　1.1 一般资料 　　收集我院消化内科2004年1月～2009年12月收治的急性胰腺炎患者共136例,男130例,女6例,随机分为观察组和对照组。观察组76例中,男74例,女2例;年龄22～63岁,平均(39±5)岁。对照组60例中,男56例,女4例;年龄25～59岁,平均(41±6)岁。 　　1.2 诊断标准 　　诊断标准符合2003年上海会议制订的《关于中国急性胰腺炎的诊治指南(草案)》,全部病例均有不同程度的持续性上腹疼痛、腹胀,伴恶心、呕吐等症状;体温37.8～39.4℃;腹部查体:上腹或全腹压痛,无反跳痛,叩诊鼓音区扩大,肠鸣音明显减弱或消失;实验室检查:血尿淀粉酶成倍增高,血白细胞及中性粒细胞明显增多;影像学检查:彩色多普勒超声、胰腺增强CT检查均提示胰腺局部或全部增大,密度不均匀,确诊为急性胰腺炎。 　　1.3 治疗方法 　　两组均以传统治疗方法为基础治疗。对照组加用大黄浓煎液保留灌肠;观察组加用全自动高位结肠灌洗后再