CAJ | 학술논문

目的观察莱菔承气汤对重症急性胰腺炎合并肺损伤的影响.方法 61例重症急性胰腺炎患者随机分为中药治疗组和常规对照组,中药治疗组在常规治疗基础上给予莱菔承气汤灌肠,对比观察两组患者血气分析指标、血尿淀粉酶、凝血功能指标、影像学检查、体温及白细胞计数恢复正常的时间、排气时间、第一次自行排便时间及APACHEⅡ评分的变化.结果相同时间内中药治疗组凝血功能指标、影像学检查、血气分析指标及APACHEⅡ评分明显优于常规对照组(P＜0.05)；体温,白细胞计数恢复正常的时间,恢复排气排便的时间较常规对照组明显缩短(P＜0.05).结论莱菔承气汤可明显改善重症急性胰腺炎合并肺损伤患者的状况,其机制可能与促进胃肠功能恢复有关.
목적 관찰래복승기탕대중증급성이선염합병폐손상적영향.방법 61례중증급성이선염환자수궤분위중약치료조화상규대조조,중약치료조재상규치료기출상급여래복승기탕관장,대비관찰량조환자혈기분석지표、혈뇨정분매、응혈공능지표、영상학검사、체온급백세포계수회복정상적시간、배기시간、제일차자행배편시간급APACHEⅡ평분적변화.결과 상동시간내중약치료조응혈공능지표、영상학검사、혈기분석지표급APACHEⅡ평분명현우우상규대조조(P＜0.05)；체온,백세포계수회복정상적시간,회복배기배편적시간교상규대조조명현축단(P＜0.05).결론 래복승기탕가명현개선중증급성이선염합병폐손상환자적상황,기궤제가능여촉진위장공능회복유관.
Objective To observe effect of Laifuchengqi Tang on severe acute pancreatitis associated lung injury patients.Methods 61 cases of severe acute pancreatitis patients were randomly divided into the control group and Chinese medicine treatment group,Chinese medicine treatment group was based on conventional treatment to pile Laifuchengqi Tang enema,two groups of patients,observed the imaging examination,coagulation function,arterial blood gas analysis index,blood amylase,urine amylase,body temperature,white blood cells count,exhaust time,first to defecate time and APACHE Ⅱ score changes.Results The same time Chinese medicine treatment group imaging examination index,coagulation function,blood gas analysis index and APACHE Ⅱ score is obviously superior to conventional control group (P＜0.05); body temperature,white blood cells count and restore the exhaust defecate rime to the control group significantly shortened (P＜0.05).Conclusions Laifuchengqi Tang can greatly improve severe acute pancreatitis patients with lung injury,its mechanism may and promote the recovery of gastrointestinal function.