通腑护肠汤灌肠治疗急性胰腺炎临床地研究.doc

The Clinical Study Of Tongfuhuchangtang Enema Treating  Acute Pancreatitis Speciality: Combination of Chinese traditional and Western Medicine Author: Lv Longjie Tutor: Prof. Chi Lili Abstract Objective: This research through observation of the clinical curative effect of Tongfuhuchangtang(TFHCT) enema treat Mild Acute Pancreatitis(MAP), from a theoretical and clinical research on two aspects to discuss the mechanism of TFHCT enema treat MAP, provide a theoretical basis for Chinese medicine treating MAP. Methods: Select object of observation in 60 patients, randomly divided into test group ( 30 cases) and control group ( 30 cases). The test group was given TFHCT enema on the basis of western medicine treatment, and the control group was given western medicine treatment. The course of treatment is 14 days. Before and after treatment in the 2 groups were observed in the comprehensive clinical efficacy, Traditional Chinese Medicine(TCM) syndrome score of the 7th days and the 14th days, intestinal function score, CT; recording the restoration of normal days on PAMY and UAMY; testing treatment for 7 days, 14 days of GLU level; testing treatment for third days, seventh days for the levels of endotoxin. Results: Comprehensive clinical efficacy: The test group was more rate of 90%, significantly better than the control group (P<0.05) 73.33%. Comparison of TCM syndrome score: two groups of treatment for the 7th days and the 14th days were obviously improved (P<0.05 or P<0.01); and the 7th days the test group symptoms improved significantly better than the control group (P<0.05 or P<0.01); fourteenth days two groups of main symptoms (abdominal pain, nausea and vomiting, fever) improvement of no significant difference (P>0.05), but the secondary symptoms (bloating, belching disorders, constipation, tongue, the tongue) of the test group improved significantly better than the control group (P<0.05). Intestinal function score: the two groups hadsignificant improvement after tre