CAJ | 학술논문

目的：观察在西医治疗基础上使用中药灌肠配合芒硝外敷治疗急性胰腺炎合并麻痹性肠梗阻的临床疗效。方法将70例急性胰腺炎合并麻痹性肠梗阻患者随机分为治疗组和对照组各35人,2组均给予常规西医治疗,治疗组加用中药灌肠配合芒硝外敷,疗程7天。观察腹痛症状、血淀粉酶、临床疗效及并发症,记录第一次排气排便、开放饮食和住院的时间。结果治疗组第3天腹痛评分和血淀粉酶均较对照组低,差异有统计学意义(P=0．020,P=0．009)。治疗组第一次排气排便时间、开放饮食时间、住院时间均较对照组短,差异有统计学意义( P=0．000、P=0．000、P=0．005、P=0．001)。两组临床疗效及并发症比较,差异无统计学意义(P>0．05)。结论在西医治疗基础上使用中药灌肠配合芒硝外敷治疗急性胰腺炎合并麻痹性肠梗阻,能够更快地缓解患者腹痛症状及降低血淀粉酶水平,并且能够缩短患者第一次排气排便时间、开放饮食时间及住院时间。
목적：관찰재서의치료기출상사용중약관장배합망초외부치료급성이선염합병마비성장경조적림상료효。방법장70례급성이선염합병마비성장경조환자수궤분위치료조화대조조각35인,2조균급여상규서의치료,치료조가용중약관장배합망초외부,료정7천。관찰복통증상、혈정분매、림상료효급병발증,기록제일차배기배편、개방음식화주원적시간。결과치료조제3천복통평분화혈정분매균교대조조저,차이유통계학의의(P=0．020,P=0．009)。치료조제일차배기배편시간、개방음식시간、주원시간균교대조조단,차이유통계학의의( P=0．000、P=0．000、P=0．005、P=0．001)。량조림상료효급병발증비교,차이무통계학의의(P>0．05)。결론재서의치료기출상사용중약관장배합망초외부치료급성이선염합병마비성장경조,능구경쾌지완해환자복통증상급강저혈정분매수평,병차능구축단환자제일차배기배편시간、개방음식시간급주원시간。
Objective To observe the clinical treatment effect of integrated traditional Chinese ( TCM enema and external application of mirabilite) and western medicine on acute pancreatitis complicat-ed with paralytic ileus. Methods 70 patients with acute pancreatitis complicated with paralytic ileus were randomly divided into treatment group and control group, with 35 people in each group. Both groups re-ceived conventional western medicine treatment, and the treatment group received traditional Chinese medi-cine enema combined with external application of mirabilite in addition. The period of treatment was 7 days. The symptoms of abdominal pain, blood amylase level, clinical efficacy, and complications were ob-served. The first exhaust time, first defecation time, eating time, and hospitalization time were also recor-ded. Results On the third day of treatment, the amylase level and pain score of the treatment group were both lower than those of the control group, and the differences were statistically significant (P=0. 020, P=0. 009). In treatment group, the first exhaust time, the first defecation time, eating time, and hospitali-zation time were shorter than the control group, and the differences were statistically significant ( P =0. 000, P=0. 000, P=0. 005, P=0. 001). Both the clinical efficacy and complications were not signifi-cantly different between the two groups (P>0. 05). Conclusion The treatment of acute pancreatitis compli-cated with paralytic ileus with integrated traditional Chinese and western medicine, can quickly relieve pain symptoms of patients, decrease the serum amylase level, and can shorten the patient first exhaust defecation time, eating time and hospitalization time.