加味大承气汤空肠滴注治疗重症急性胰腺炎（脾胃实热型）临床研究中医内科学专业论文.docxVIP

PAGE PAGE 10 关键词 ：重 症 急 性 胰 腺 炎 ； 空 肠 滴注 ； 加 味 大 承 气 汤 ； 临床 疗效 Clinical Research In Syndrome of Dampness-heat of Spleen and Stomach Type of Severe Acute Pancreatitis by Infusion of Jejunal JiaWeiDaChengQi particle Abstract Objective: through systematic observations of the efficacy of severe acute pancreatitis(SAP, Syndrome of Dampness-heat of Spleen and Stomach) treated by early infusion of jejunal enteral nutrion combined with JiaWeiDaChengQiTang, to investigate the new therapeutic method of Traditional Chinese Medicine and Westem Medicine combined on SAP. Accordingly, it offers an objective scientific basis as a treatment for SAP in clinical application. Methods: In on clinical chooses tallies brings into line with the standard the severe acute pancreatitis(Syndrome of Dampness-heat of Spleen and Stomach) patient 30 examples. By using a randomized controlled, Doctor-patient single-blind trial, 30 cases of severe acute pancreatitis were divided into 2 groups. The observation group and the control group with 15 cases in each were accepted the conventional treatment combined with jejunal enteral nutrion firstly. And then, the observation group were accepted the jejunal enteral JiaWeiDaChengQiTang infusion. The control group were accepted the jejunal enteral Lactulose Oral Solution infusion. The abdominal pain time, bowel sounds, days of hospital stay, body weight, serum amylase(AMY), C-reactive protein, serum albumin and prealbumin value of patient in two groups were tested and compared. Results: 1. The total excellence rate in the observation and the control group was 93.2% and 73.4% respectively, and there is a significant difference between the observation group and control group(P0.01). According to the average R the effect of the treatment group was markedly superior to that of the control group. 2. The time of AMY, CRP and bowel sounds returend to normal, abdominal pain duration and average hospital stay in observation group was significantly shorter than