中西医结合治疗急性重症胰腺炎合并胃肠功能衰竭的临床观察

Clinical observation on treating severe acute pancreatitis with gastrointestinal failure in the integrative medicine

目的:探讨中西医结合治疗重症胰腺炎合并胃肠功能衰竭的临床疗效。方法:将38例患者随机分为治疗组组和对照组,对照组按西医规范化治疗,给予禁食、胃肠减压、补充血容量、纠正水电解质酸碱失衡、生长抑素、奥美拉唑、抗生素治疗;治疗组在对照组的基础上给予柴胡承气汤200ml经胃管注入或口服,每日2～3次,观察两组治疗效果。结果:治疗组腹痛缓解、腹胀缓解时间和肠鸣音、肛门排气排便恢复时间均显著较对照组缩短,P<0.01,差异有统计学意义。结论:柴胡承气汤治疗重症急性胰腺炎合并胃肠功能衰竭有较好的临床应用价值。

Objective： To investigate the clinical effects of the integrative medicine in treating severe acute pancreatitis with gastrointestinal failure. Methods： 38 patients were randomly divided into the treatment group and the control group, the control group was given standardized treatment of morden medicine, given to fasting, decompression, add volume, to correct the pH of water and electrolyte imbalance, somatostatin, omeprazole, and antibiotic treatment; the treatment group was given the Chaihu Cbengqi decoction 200ml by tube injection or orally, 2~3 times per day, treatment effects were observed. Results： In the treatment group, abdominal pain, abdominal distension and duration of remission and bowel sounds, and the recovery time of anal exhaust defecation were significantly shorter than the control group, P〈0.01, the difference was statistically significant. Conclusion： The Chaihu Chengqi decoction had better clinical value in treating severe acute pancreatitis with gastrointestinal failure.