莱菔承气汤治疗重症急性胰腺炎32例疗效观察

Observation of Laifu- chengqi decoction on severe acute pancreatitis

目的观察莱菔承气汤治疗重症急性胰腺炎的临床疗效。方法将64例重症急性胰腺炎患者随机分为2组。对照组32例予常规内科西医治疗,治疗组32例在对照组治疗基础上加用莱菔承气汤治疗。分别监测并比较2组白细胞计数恢复正常时间、血清淀粉酶恢复正常时间、C反应蛋白(CRP)恢复正常时间、腹痛消失时间、首次排便时间、ICU住院时间及并发症的发生率。结果治疗组白细胞计数恢复正常时间、血清淀粉酶恢复正常时间、CRP恢复正常时间、腹痛消失时间、首次排便时间、ICU住院时间均较对照组明显缩短(P<0.05),并发症的发生率较对照组明显降低(P<0.05)。结论莱菔承气汤治疗重症急性胰腺炎疗效确切。

Objective To observe the curative effects of Laifu-chengqi decoction on severe acute pancrea-titis （ SAP） .Methods 64 SAP patients were randomly divided into two groups.32 patients in control group were treated by routine western medical treatment.32 patients in treatment group were treated by Laifu-chengqi decoction on the basis of control group treatment.The time of returned to normal of leukocyte, serum amylase and c-reactive protein （ CRP） , abdominal pain relief time, first defecation time were observed in two groups, as well as the days of treatment and occurrence rate of complication.Results The time of returned to normal of leukocyte, serum amylase and CRP, abdominal pain relief time and first defecation time in treatment group were obviously shortened as com-pared with those in control group, as well as the days of treatment （P〈0.05）, and the occurrence rate of complica-tion was obviously decreased （P〈0.05）.Conclusion Laifu-chengqi decoction has definite clinical effects on se-vere acute pancreatitis.