大黄红藤消炎方佐治急性胰腺炎的临床研究

发布时间：2018-05-02 22:08

  本文选题：急性胰腺炎 + 中药方剂　； 参考：《中华中医药学刊》2017年07期

【摘要】：目的:探讨中药方剂大黄红藤消炎方对急性胰腺炎的治疗作用。方法:选取哈励逊国际和平医院消化内科2015年1月—2016年9月收住的急性胰腺炎患者140例,采用随机对照设计原则,依据随机数字表将140例患者随机分为对照组70例及实验组70例。对照组患者采用西医常规方法;实验组患者在对照组治疗方案基础上加用大黄红藤消炎方,两组疗程均12 d。观察治疗前、治疗后7 d及12 d APACHEⅡ评分,监测血淀粉酶、白细胞及血浆C反应蛋白恢复正常时间,腹痛缓解时间、腹胀缓解时间,第1次自主排便时间,评价临床疗效。结果:两组患者治疗前APACHEⅡ评分无统计学差异(P0.05),治疗7 d后、12 d后APACHEⅡ评分均降低(P0.05),且实验组降低幅度更显著(P0.05);实验组患者的血淀粉酶、白细胞、血浆C反应蛋白恢复正常时间均短于对照组患者(P0.05);实验组患者的腹痛缓解时间及腹胀缓解时间均比对照组有所缩短(均P0.05),且第1次自主排便时间也明显短于对照组(P0.01)。结论:急性胰腺炎患者联合应用大黄红藤消炎方可以有效改善APACHEⅡ评分,缩短血淀粉酶、白细胞及血浆C反应蛋白恢复正常时间,较早缓解腹部症状。
[Abstract]:Objective: to investigate the therapeutic effect of Dahuang Hongteng Xiaoyan prescription on acute pancreatitis. Methods: 140 patients with acute pancreatitis received from January 2015 to September 2016 in Department of Digestive Medicine, Hallieson International Peace Hospital, were selected and randomized controlled design was used. 140 patients were randomly divided into control group (n = 70) and experimental group (n = 70). The patients in the control group were treated with routine western medicine, the patients in the experimental group were treated with rhubarb Hongteng anti-inflammatory prescription on the basis of the treatment plan of the control group, the course of treatment in both groups was 12 days. The APACHE 鈪，

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