大承气汤治疗重症急性胰腺炎疗效分析

Curative Effect Analysis of Dachengqi Decoction on Severe Acute Pancreatitis

目的观察大承气汤治疗重症急性胰腺炎(SAP)的疗效。方法选取SAP患者66例,随机分为对照组和实验组各33例,对照组采用西医常规治疗,实验组在常规处理基础上加用中药大承气汤治疗,比较2组疗效。结果实验组腹痛缓解时间为(11±0.5)d,平均住院时间为(28±1.9)d;对照组腹痛缓解时间为(14±0.6)d,平均住院时间为(35±2.1)d。大承气汤组治愈率为91.0%,对照组治愈率为75.8%。2组间比较差异均有统计学意义(p<0.05)。结论西医常规处理加用大承气汤治疗SAP疗效明显优于常规治疗,值得临床推广。

Objective To observe the curative effect of Dachengqi decoction on severe acute pancreatitis （SAP）. Method 66 cases of patients with SAP were randomly divided into control group and experimental group with 33 cases in each group. Patients in the control group were given routine western treatment while those in the experimental group were treated with traditional chinese dachengqi decoction based on the routine treatment, and curative effects of the two groups were compared. Results Time of pain alleviation in the experimental group was （11±0.5） d and average hospitalization time was （28±1.9） d while time of pain alleviation in the control group was （14±0.6） d and average hospitalization time was （35±2.1） d. Cure rate in patients of the group treated with dachengqi decoction was 91.0% while that of the control group was 75.8%, and differences between the two groups were statistically significant （p〈0.05）. Conclusion Routine western treatment com-bined with dachengqi decoction has significantly better curative effect than routine therapy in treating SAP, so the combination is worth promoting in clinic.