清胰汤对重症急性胰腺炎营养状况的疗效观察

Clinical observation on the effect of the Qingyi decoction against intervening nutritional status of SAP

目的:观察中药清胰汤在重症急性胰腺炎患者的营养代谢中的治疗作用。方法:收集2006年7月～2010年7月收治的急性反应期SAP病人80例,分为清胰汤治疗组(治疗组)42人和常规治疗组(对照组)38人,观察、比较病人入院时、3d、7d、14d后的总蛋白、白蛋白、前白蛋白的血清水平变化。结果:治疗组和对照组的血清总蛋白、白蛋白、前白蛋白水平在住院第7d均上升,治疗组上升更快,两组比较在第7d、14d有显著性差异(P<0.05)。结论:SAP患者早期能量消耗剧烈,患者表现为能量失衡状态。中西医结合治疗可以更好的维持早期SAP患者的营养状态。

Objective：To observe the effect of the Qingyi decoction on treating nutritional status of severe acute pancreatitis（SAP）.Methods：80 patients with SAP treated in the hospital from July 2007 to December 2009 were selected,there were 42 paitents in the treatment group and 38 patients in the control group.Then they were divided into the Qingyi decoction treatment group（treatment group） and the routine treatment group（control group）.Changes in serum levels of total protein,albumin,prealbumin were observed and compared when the patients were admitted,the third day,the seventh day,the fourteenth day.Results：The levels of serum total protein,albumin,prealbumin of the treatment group and the control group both increased in the the seventh day of hospitalization,the treatment group increased faster,compared two groups,there was a significant difference in the seventh day,the fourteenth day（P0.05）.Conclusion：The energy consumption of patients with the early period of SAP was very vigorous,with an unbalance state.The Qingyi decoction could better maintain the nutritional status of patients with SAP.