泰山医学院学报
泰山醫學院學報
태산의학원학보
Journal of Taishan Medical College
2015年
11期
1252-1254
,共3页
三位一体疗法%急性胰腺炎%腹胀%护理
三位一體療法%急性胰腺炎%腹脹%護理
삼위일체요법%급성이선염%복창%호리
the three in one therapy%acute pancreatitis%abdominal distension nursing
目的：观察中医“三位一体疗法”（大黄通胰汤上注下灌联合芒硝脐敷）治疗急性胰腺炎腹胀的效果。方法将我院2010年12月—2014年12月收治确诊的60例急性胰腺炎伴腹胀患者按治疗方法分为对照组和观察组各30例。对照组采用常规治疗，禁食补液（不禁药），胃肠减压、维持水、电解质平衡和微循环障碍、抑制胰腺分泌、抑酸保胃、镇痛解痉、抗生素治疗；观察组在采用常规治疗的基础上，加用中医“三位一体疗法”。观察比较两组患者肠鸣音恢复时间，肛门首次排便时间，腹胀缓解时间以及总有效率。结果对照组肠鸣音恢复、肛门首次排便及腹胀缓解时间分别为（36.20±3.55）h、（73.20±8.58）h、（97.13±12.32）h，观察组肠鸣音恢复、肛门首次排便及腹胀缓解时间分别为（15.47±3.35）h、（24.12±7.54）h、（45.56±11.22）h，观察组明显优于对照组，两组差异有统计学意义（P <0.05）。观察组总有效率为96.67%，高于对照组总有效率70.00%，两组差异有统计学意义（P <0.05）。结论中医“三位一体疗法”治疗急性胰腺炎腹胀的效果满意，值得临床推广使用。
目的：觀察中醫“三位一體療法”（大黃通胰湯上註下灌聯閤芒硝臍敷）治療急性胰腺炎腹脹的效果。方法將我院2010年12月—2014年12月收治確診的60例急性胰腺炎伴腹脹患者按治療方法分為對照組和觀察組各30例。對照組採用常規治療，禁食補液（不禁藥），胃腸減壓、維持水、電解質平衡和微循環障礙、抑製胰腺分泌、抑痠保胃、鎮痛解痙、抗生素治療；觀察組在採用常規治療的基礎上，加用中醫“三位一體療法”。觀察比較兩組患者腸鳴音恢複時間，肛門首次排便時間，腹脹緩解時間以及總有效率。結果對照組腸鳴音恢複、肛門首次排便及腹脹緩解時間分彆為（36.20±3.55）h、（73.20±8.58）h、（97.13±12.32）h，觀察組腸鳴音恢複、肛門首次排便及腹脹緩解時間分彆為（15.47±3.35）h、（24.12±7.54）h、（45.56±11.22）h，觀察組明顯優于對照組，兩組差異有統計學意義（P <0.05）。觀察組總有效率為96.67%，高于對照組總有效率70.00%，兩組差異有統計學意義（P <0.05）。結論中醫“三位一體療法”治療急性胰腺炎腹脹的效果滿意，值得臨床推廣使用。
목적：관찰중의“삼위일체요법”（대황통이탕상주하관연합망초제부）치료급성이선염복창적효과。방법장아원2010년12월—2014년12월수치학진적60례급성이선염반복창환자안치료방법분위대조조화관찰조각30례。대조조채용상규치료，금식보액（불금약），위장감압、유지수、전해질평형화미순배장애、억제이선분비、억산보위、진통해경、항생소치료；관찰조재채용상규치료적기출상，가용중의“삼위일체요법”。관찰비교량조환자장명음회복시간，항문수차배편시간，복창완해시간이급총유효솔。결과대조조장명음회복、항문수차배편급복창완해시간분별위（36.20±3.55）h、（73.20±8.58）h、（97.13±12.32）h，관찰조장명음회복、항문수차배편급복창완해시간분별위（15.47±3.35）h、（24.12±7.54）h、（45.56±11.22）h，관찰조명현우우대조조，량조차이유통계학의의（P <0.05）。관찰조총유효솔위96.67%，고우대조조총유효솔70.00%，량조차이유통계학의의（P <0.05）。결론중의“삼위일체요법”치료급성이선염복창적효과만의，치득림상추엄사용。
Objective:To observe the effect of TCM treatment of Trinity(Radix et Rhizoma Rhei through pancreas soup note under irrigation combined with mirabilite umbilicus)in treatment of abdominal distension in patients with acute pan-creatitis. Methods:Sixty cases of acute pancreatitis with abdominal distension were divided into control group and observa-tion group,with 30 cases in each. The control group received conventional therapy,rehydration fasting(not banned),gas-trointestinal decompression,maintainance of water,electrolyte balance and microcirculation,inhibition of pancreatic secre-tion,inhibiting acid retention stomach,antispasmodic and analgesic,antibiotic treatment,while the observation group had conventional treatment in combination with traditional Chinese medicine ″three in one therapy″. The two groups were ob-served and the recovery time of bowel sound,the first defecation time,abdominal distension remission time and the total ef-ficiency were compared. Results:After treatment,bowel sounds recovery,first anal defecation and abdominal distension ease time of patients in the observation group were(15. 47 ± 3. 35)h,(24. 12 ± 7. 54)h,(45. 56 ± 11. 22)h,which were significantly better than(36. 20 ± 3. 55)h,(73. 20 ± 8. 58)h,(97. 13 ± 12. 32)h in the control group,and the difference between the two groups was statistically significant(P < 0. 05). The total efficiency of the observation group was 96. 67% ,which was higher than that of the control group 70. 00% ,and the difference between the two groups was statisti-cally significant(P < 0. 05). Conclusion:The effect of the ″three in one therapy″ of traditional Chinese medicine treat-ment of acute pancreatitis is satisfactory,and is worthy of clinical application.
