通便活血法对高脂血症性胰腺炎的降脂作用探讨

Hypolipemic treatment of hyperlipidemic pancreatitis with enema Sill

目的 探讨中西药合用对高脂血症性胰腺炎的降脂作用.方法 回顾性分析20例高脂血症性胰腺炎的临床资料,对照组8例采用常规法治疗：治疗组12例在对照组治疗基础上,加硫酸镁甘油溶液180 ml灌肠,生大黄片胃管内注入（9g）,丹参注射液24 g加入补液中静滴治疗,1次/d.结果 治疗组48 h时血清TG浓度降低,与对照组比较差异有统计学意义（P〈0.01）.自主排便时间（P〈0.01）、腹痛消失天数（P〈0.05）、住院天数明显缩短（P〈0.01）.结论 1∶2∶3硫酸镁甘油溶液灌肠、生大黄片胃管内注入、丹参注射液24 g静滴的方法对高脂血症性胰腺炎降脂作用显著.

Objective To investigate hypolipemic treatment of hyperlipidemic panereatiti（HLP）with integrated traditional Chinese and western medicine.Methods Cinical data of 20 patients of HLP were analyzed retrospectively.Eight patients in the control group were treated with conventional therapies,while 12 patients in the treatment group were treated as follows：①Enema with 180ml solution（50% magnesium sulfate 30 ml.Glycerin 60ml,water 90ml）.②Rhubarb gastrogavage with 9 g tid.③Intravenous drip with 24 g salvia miltiorrhiza qd.Results The treatment group had significant difference comparing with the control group in terms of the serum TG in 48 hours（P〈0.01）,time of autonomous bowel movement recover（P〈0.01）,days of abdominal pain disappear（P〈0.05）,days of hospitalization（P〈0.01）.Conclusion The treatment of Enema with 180 ml solution.Rhubarb gastrogavage with 9g tid,and Intravenous drip with 24 g salvia miltiorrhiza qd can relieve the symptoms of HLP and decrease blood-fat greatly.