CAJ | 학술논문

目的：观察中药穴位外敷离子导入防治内镜逆行胰胆管造影(ERCP)术后高淀粉酶血症和胰腺炎的临床疗效。方法将300例ERCP术后患者随机分入治疗组和对照组,术后均给予常规治疗,治疗组加用中药穴位外敷离子导入。观察2组患者ERCP术后高淀粉酶血症和胰腺炎发生率及合并胰腺炎或胰高淀粉酶血症患者血清淀粉酶恢复至正常的天数,并对术后患者腹痛进行评分。结果剔除符合剔除标准的病例17例,治疗组纳入142例,对照组141例。治疗组术后高淀粉酶血症或胰腺炎的发生例数均少于对照组,但差异无统计学意义(P＞0.05)；术后治疗组和对照组合并胰腺炎患者的淀粉酶恢复正常时间分别为(4.25±0.95)d 和(5.28±1.11)d,差异无统计学意义(P＞0.05)；术后治疗组和对照组合并胰高淀粉酶血症患者的淀粉酶恢复正常时间分别为(2.88±0.78)d 和(3.81±1.62)d,2组比较差异有统计学意义(P＜0.05)。治疗组和对照组术后患者腹痛评分分别为(0.95±1.04)分和(1.21±1.12)分,2组比较差异有统计学意义(P＜0.05)。结论中药穴位外敷离子导入能促进ERCP术后合并高淀粉酶血症患者血清淀粉酶的恢复,并能较好地缓解术后腹痛症状。
목적：관찰중약혈위외부리자도입방치내경역행이담관조영(ERCP)술후고정분매혈증화이선염적림상료효。방법장300례ERCP술후환자수궤분입치료조화대조조,술후균급여상규치료,치료조가용중약혈위외부리자도입。관찰2조환자ERCP술후고정분매혈증화이선염발생솔급합병이선염혹이고정분매혈증환자혈청정분매회복지정상적천수,병대술후환자복통진행평분。결과척제부합척제표준적병례17례,치료조납입142례,대조조141례。치료조술후고정분매혈증혹이선염적발생례수균소우대조조,단차이무통계학의의(P＞0.05)；술후치료조화대조조합병이선염환자적정분매회복정상시간분별위(4.25±0.95)d 화(5.28±1.11)d,차이무통계학의의(P＞0.05)；술후치료조화대조조합병이고정분매혈증환자적정분매회복정상시간분별위(2.88±0.78)d 화(3.81±1.62)d,2조비교차이유통계학의의(P＜0.05)。치료조화대조조술후환자복통평분분별위(0.95±1.04)분화(1.21±1.12)분,2조비교차이유통계학의의(P＜0.05)。결론중약혈위외부리자도입능촉진ERCP술후합병고정분매혈증환자혈청정분매적회복,병능교호지완해술후복통증상。
Objective To observe the clinical effects of external application of Chinese medicine ion introduction through acupiont in the prevention and treatment of hyperamylasemia and pancreatitis following endoscopic retrograde cholangio pancreatography (ERCP). Methods Three hundred subjects were divided into treatment group and control group randomly, and treated with routine therapy after surgery, moreover, treatment group was treated with external application of Chinese medicine ion introduction through acupiont. The incidence of hyperamylasemia and pancreatitis, the time of serum amylase returned to normal in patients with hyperamylasemia and pancreatitis was observed, and the abdominal pain after ERCP was scored. Results Excluding 17 cases according to the exclusion criteria, the treatment group included 142 cases and the control group included 141 cases. The hyperamylasemia and pancreatitis happened less frequently in the treatment group than in control group, but there was no significant difference (P>0.05). The time of serum amylase returned to normal in patients with pancreatitis was (4.25±0.95)d in treatment group and (5.28±1.11)d in control group, with no significant difference (P>0.05). The time of serum amylase returned to normal in patients with hyperamylasemia was (2.88 ± 0.78)d in treatment group and (3.81±1.62)d in control group, showed a significant difference (P<0.05). The score of abdominal pain was 0.95±1.04 in treatment group and 1.21±1.12 in control group, showed a significant difference (P<0.05). Conclusion External application of Chinese medicine ion introduction through acupoint can promote the recovery of the patients postoperative ERCP combined with hyperamylasemia or pancreatitis, and can better alleviate abdominal pain.