中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
3期
70-71
,共2页
胰腺炎%重症%中药%肠内营养
胰腺炎%重癥%中藥%腸內營養
이선염%중증%중약%장내영양
Severe pancreatitis%Enteral nutrition%Traditional Chinese medicine
目的：研究中药联合肠内营养治疗重症急性胰腺炎的临床疗效。方法：选取2012年11月—2013年11月收入我院的重症急性胰腺炎患者112例，随机分为治疗组和对照组各56例。对照组使用常规和全肠外营养（TPN）治疗；治疗组在对照组的基础上，使用药柴芍承气汤灌胃，并实施早期肠内营养（EN）。结果：治疗组中，24例多器官功能障碍，34例假性囊肿，8例胰周感染（包括胰周脓肿）对照组分别为44例、32例及20例。治疗组住院时间及住院费用为（13.51±0.67）d 和(2.12±0.34)万元；对照组为（21.43±1.86）d 和（4.85±1.09）万元。治疗组在胰周感染、多器官功能障碍的发生率、住院时间及住院费用显著少于对照组，具有统计学差异（P<0.05）。结论：治疗重症急性胰腺炎使用柴芍承气汤与肠内早期营养联合可减少胰周感染、多器官功能障碍得发生率，节省住院费用及减少住院时间等有重要意义，但在假性囊肿发生率方面无影响。
目的：研究中藥聯閤腸內營養治療重癥急性胰腺炎的臨床療效。方法：選取2012年11月—2013年11月收入我院的重癥急性胰腺炎患者112例，隨機分為治療組和對照組各56例。對照組使用常規和全腸外營養（TPN）治療；治療組在對照組的基礎上，使用藥柴芍承氣湯灌胃，併實施早期腸內營養（EN）。結果：治療組中，24例多器官功能障礙，34例假性囊腫，8例胰週感染（包括胰週膿腫）對照組分彆為44例、32例及20例。治療組住院時間及住院費用為（13.51±0.67）d 和(2.12±0.34)萬元；對照組為（21.43±1.86）d 和（4.85±1.09）萬元。治療組在胰週感染、多器官功能障礙的髮生率、住院時間及住院費用顯著少于對照組，具有統計學差異（P<0.05）。結論：治療重癥急性胰腺炎使用柴芍承氣湯與腸內早期營養聯閤可減少胰週感染、多器官功能障礙得髮生率，節省住院費用及減少住院時間等有重要意義，但在假性囊腫髮生率方麵無影響。
목적：연구중약연합장내영양치료중증급성이선염적림상료효。방법：선취2012년11월—2013년11월수입아원적중증급성이선염환자112례，수궤분위치료조화대조조각56례。대조조사용상규화전장외영양（TPN）치료；치료조재대조조적기출상，사용약시작승기탕관위，병실시조기장내영양（EN）。결과：치료조중，24례다기관공능장애，34례가성낭종，8례이주감염（포괄이주농종）대조조분별위44례、32례급20례。치료조주원시간급주원비용위（13.51±0.67）d 화(2.12±0.34)만원；대조조위（21.43±1.86）d 화（4.85±1.09）만원。치료조재이주감염、다기관공능장애적발생솔、주원시간급주원비용현저소우대조조，구유통계학차이（P<0.05）。결론：치료중증급성이선염사용시작승기탕여장내조기영양연합가감소이주감염、다기관공능장애득발생솔，절성주원비용급감소주원시간등유중요의의，단재가성낭종발생솔방면무영향。
Objective: To study the clinical effect of traditional Chinese medicine combined with enteral nutrition in the treatment of severe acute pancreatitis. Methods: 112 patients with severe acute pancreatitis from 2012 November —2013 year in November revenue in our hospital patients, randomly divided into treatment group and control group, 56 cases in each group. The control group using conventional and total parenteral nutrition (TPN) treatment; treatment group in the control group based on the use of drugs, Chaishao Chengqi Decoction gavage, and early use of enteral nutrition (EN). Result:in the treatment group, 24 cases of multiple organ dysfunction, 34 cases of cyst, 8 cases of pancreatic and peripancreatic infection, including pancreatic abscess;the control group were 44 cases, 32 cases and 20 cases. In treatment group, the time in hospital and the hospitalization expenses for (13.51±0.67) D and (2.12±0.34) million yuan;control group (21.43±1.86) D and (4.85±1.09) million. The treatment group in the peripancreatic infection, multiple organ dysfunction incidence, hospitalization time and cost of hospitalization was significantly less than that in the control group, with statistical difference (P<0.05). Conclusion:the treatment of severe acute pancreatitis with Chai Shaochengqi soup use of early enteral nutrition combined with reduced peripancreatic infection, multiple organ dysfunction occurrence rate, save the hospitalization expenses and hospitalization time is very important, but in the pseudocyst incidence of no effect.
