CAJ | 학술논문

目的：注射性胰腺炎是内镜逆行胰胆管造影术（ERCP）术后常见并发症，本研究观察经空肠营养管注入中药清胰汤治疗 ERCP 术后胰腺炎（PEP）的临床疗效。方法：我院行 ERCP 治疗患者，其中66例出现 PEP ，随机分为 A 组（22例）采用常规治疗；B 组（22例）在 A 组基础上胃管内注入清胰汤治疗；C 组（22例）在 A 组治疗基础上空肠营养管内注入清胰汤治疗。比较3组患者治疗有效率，临床症状缓解情况、实验室检查、CT 胰腺恢复时间、ERCP 术后平均住院日等方面。结果：A 组与 B 组在疗效比较无明显差异（P＞0．05），C 组患者治疗有效率及症状缓解、实验室指标恢复、平均住院日等情况均优于 A 、B 两组（P ＜0．05）。结论：经空肠营养管注入清胰汤治疗 ERCP 术后胰腺炎效果显著。
목적：주사성이선염시내경역행이담관조영술（ERCP）술후상견병발증，본연구관찰경공장영양관주입중약청이탕치료 ERCP 술후이선염（PEP）적림상료효。방법：아원행 ERCP 치료환자，기중66례출현 PEP ，수궤분위 A 조（22례）채용상규치료；B 조（22례）재 A 조기출상위관내주입청이탕치료；C 조（22례）재 A 조치료기출상공장영양관내주입청이탕치료。비교3조환자치료유효솔，림상증상완해정황、실험실검사、CT 이선회복시간、ERCP 술후평균주원일등방면。결과：A 조여 B 조재료효비교무명현차이（P＞0．05），C 조환자치료유효솔급증상완해、실험실지표회복、평균주원일등정황균우우 A 、B 량조（P ＜0．05）。결론：경공장영양관주입청이탕치료 ERCP 술후이선염효과현저。
Objective :Post‐ERCP pancreatitis (PEP)was one of the severe complications of Endoscopic Retro‐grade Cholangiopancreatography (ERCP) .And this study aimed to investigate Qingyi decoctioncombined withnose‐jeju‐num nutrition tubein treatment of post‐ERCP pancreatitis .Methods :66 patients who experiencedpost‐ERCP pancreatitis were random divide 3 groups .group A (regular treatment) ,group B ( gastric tube to Qingyi decoction on the basis of A group ) ,group C (nose‐jejunum nutrition tubeto Qingyi decoction on the basis of A group ) .We compared effective rate of treatment ,symptomremission ,laboratory examination .the pancreas recovery time in CT ,average hospital stay .be‐tween these 3 groups .Results :There were significant difference between the group C and group A /B in effective rate , symptomremission ,laboratory examination ,the pancreas recovery time in CT and average hospital stay (P< 0 .05) .Con‐clusion :The current study illuminated that qingyi decoction combined with nose‐jejunum nutrition tubein treatment of post‐ERCP pancreatitis have significance effect .