Effect of Early Application of Traditional Chinese Medicine in Treating Severe Acute Pancreatitis with Paralytic Intestinal Obstruction by Retention Enema Catharsis_West China Medical Journal

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The Department of Integrated Traditional Chinese Medicine and Western Medicine，West China Hospital, Sichuan University;

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重症急性胰腺炎; 麻痹性肠梗阻; 柴芩承气汤

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目的：观察柴芩承气汤治疗重症急性胰腺炎(SAP)并发麻痹性肠梗阻 (Paralytic Intestinal Obstruction)的疗效。方法:依据纳入和排除标准,选取四川大学华西医院中西医结合科收治的SAP患者40例,按1∶1比例随机分成试验组(20例)和对照组(20例),试验组入院时即给予柴芩承气汤灌肠治疗,对照组使用安慰剂灌肠治疗;两组入院时基线资料差异无统计学意义(P gt;005)，且两组均给予相同常规西医治疗。观察入院后其首次自行排便排气时间,入院时、入院后第3天、第7天APACHEⅡ评分及住院病程。结果:入院后首次自行排便排气时间试验组（302±154）天,低于对照组（453±241）天;入院后第3天APACHEⅡ评分试验组（925±184）分，低于对照组（1163±222）分;入院后第7天APACHEⅡ评分试验组（624±247）分，低于对照组（881±325）分。住院时间试验组（2453±426）天,低于对照组（3032±589）天。结论:早期应用柴芩承气汤灌肠治疗SAP并发麻痹性肠梗阻,可缩短麻痹性肠梗阻的持续时间及减轻其危害,减少住院病程。

Citation： GUAN Wendong,CHEN Guangyuan,XUE Ping. Effect of Early Application of Traditional Chinese Medicine in Treating Severe Acute Pancreatitis with Paralytic Intestinal Obstruction by Retention Enema Catharsis. West China Medical Journal, 2010, 25(1): 24-26. doi: Copy

West China Medical Journal

Effect of Early Application of Traditional Chinese Medicine in Treating Severe Acute Pancreatitis with Paralytic Intestinal Obstruction by Retention Enema Catharsis

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