大承气汤在急性胰腺炎治疗中的应用

Use of Dachengqi Decoction in acute pancreatitis

目的:观察大承气汤对急性胰腺炎的治疗作用。方法:选择符合急性胰腺炎诊断标准病例69例,随机分为两组,33例患者给予常规禁食、胃肠减压抑制胰液分泌预防感染治疗作为对照组,36例在常规治疗基础上加用大承气汤胃管注入7d。观察两组有效率,有效患者腹痛缓解时间,血尿淀粉酶恢复正常时间及住院时间。结果:治疗组和对照组有效率分别为84.8%、94.4%。两组比较有显著性差异(P<0.01);两组治疗有效患者比较腹痛缓解时间、血淀粉酶恢复正常时间、尿淀粉酶恢复时间、住院天数,有显著性差异(P<0.01)。结论:大承气汤治疗急性胰腺炎是一种安全有效的治疗方法。

Objective： To observe the therapeutic effect of Dachengqi Decoction on acute pancreatitis. Methods： Sixty-nine cases of acute pacreatitis were selected and divided into two groups randomly, 33 cases were treated with rountine method of forbidding-food, decrease gastric pressure, controlling pancreas secrection, preventing infection in the comparison group. 36 cases were treated with Dachengqi Decoction seven days in treatment group. Effectiveness, time of alleviating abdominal pain for patiant treatted effectualy, time of resuming for bood starch enzyme, time of resuming for urine starch enzyme and time of being in hospital were observed. Results： The treatment group and comparison group, effectiveness respectively were 84.8%, 94.4%（P〈0.01）; to compare time of alleviating abdominal pain for patiant treatted effectualy, time of resuming for bood starch enzyme, time of resuming for urine starch enzyme and time of being in hospital, two groups were significantly different. Conclusion： Use of Dachengqi Decoction was a secure, effective therapetic method on acute pacreatitis.