CAJ | 학술논문

目的：探讨大黄水灌肠对急性胰腺炎患者早期肠道功能恢复的影响。方法收集汕头大学医学院第一附属医院住院治疗的急性胰腺炎患者118例，随机分为两组，对照组给予常规胰腺炎治疗，治疗组在常规治疗的基础上加用大黄水灌肠，对比两组患者腹部胀痛持续时间及首次排便时间，比较两组APACHE II评分、中转手术率、病死率、住院天数及住院费用。结果治疗组与对照组腹部胀痛持续时间分别为（4.0±1.5）d、（6.0±1.8）d，首次排便时间分别为（7.0±2.1）d、（10.0±2.6）d，两组比较差异有统计学意义（ P ﹤0.05）；治疗后治疗组 A-PACHEⅡ积分、中转手术率、病死率、住院天数及住院费用均明显低于对照组（P﹤0.05）。结论大黄水灌肠可以明显缩短患者因肠道功能衰竭引起的腹部胀痛及首次排便时间，改善各项临床指标，值得临床推广应用。
목적：탐토대황수관장대급성이선염환자조기장도공능회복적영향。방법수집산두대학의학원제일부속의원주원치료적급성이선염환자118례，수궤분위량조，대조조급여상규이선염치료，치료조재상규치료적기출상가용대황수관장，대비량조환자복부창통지속시간급수차배편시간，비교량조APACHE II평분、중전수술솔、병사솔、주원천수급주원비용。결과치료조여대조조복부창통지속시간분별위（4.0±1.5）d、（6.0±1.8）d，수차배편시간분별위（7.0±2.1）d、（10.0±2.6）d，량조비교차이유통계학의의（ P ﹤0.05）；치료후치료조 A-PACHEⅡ적분、중전수술솔、병사솔、주원천수급주원비용균명현저우대조조（P﹤0.05）。결론대황수관장가이명현축단환자인장도공능쇠갈인기적복부창통급수차배편시간，개선각항림상지표，치득림상추엄응용。
Objective To study the effect of rhubarb water enema on the early recovery of bowel function in patients with acute pancreatitis. Methods One hundred and eighteen patients with acute pancreatitis in the first affiliated hospital of Shantou university medical college were randomly divided into two groups,the patients in control group received conventional pancreatitis treatment,and the patients in treatment group were added with rhubarb water enema based on the conventional treatment. The duration of abdominal pain and the first defecation time were compared between the two groups,and APACHE Ⅱscore,operation rate,mortality,hospital stay and hospital costs were also compared between the two groups. Results The duration of abdominal pain was( 4. 0 ± 1. 5 )d in the treatment group and (6. 0 ± 1. 8 )d in the control group,the first defecation time was( 7. 0 ± 2. 1 )d in the treatment group and(10. 0 ± 2. 6)d in the control group,there were significant differences(P﹤0. 05);The A-PACHE Ⅱpoints,operation rate,mortality,hospital stay and hospitalization costs in treatment group were significantly lower than those in the treatment group( P﹤0. 05 ). Conclusions Rhubarb water enema can significantly shorten the abdominal pain and initial defecation time caused by bowel dys-function,and it is worthy of clinical application.