新斯的明穴位注射联合柴芍承气汤治疗急性重症胰腺炎的疗效观察

Clinical Observation of Acute Severe Pancreatitis Treated by Injection of neostigmine and Chaishao Chengqi Decoction by Acupoint Injection

目的:探讨新斯的明穴位注射联合柴芍承气汤治疗急性重症胰腺炎的临床疗效。方法:回顾分析我院2013年10月至2015年10月收治的66例急性重症胰腺炎患者的临床资料,并根据治疗方法分为A、B、C 3组,A组给予常规治疗,B组在A组基础上给予柴芍承气汤鼻饲治疗,C组在B组基础上给予新斯的明足三里穴位注射,分别观察3组治疗后肠道功能障碍恢复情况及发生并发症方面的差别。结果:B、C组肠道功能障碍恢复情况、发生并发症均优于A组,C组较B组肠道功能障碍恢复快,并发症少,疗效更好。结论:新斯的明穴位注射联合柴芍承气汤治疗急性重症胰腺炎,更能有效减轻患者的腹部症状,加速胃肠功能的恢复,缩短住院时间,减少并发症,降低住院费用,值得临床推广。

Objective： To investigate the clinical efficacy of neostigmine injection combined with Chaishao Chengqi Decoction in the treatment of acute severe pancreatitis. Methods： The clinical data of 66 patients with severe acute pancreatitis who were admitted to our hospital from October 2013 to October 2015 were retrospectively analyzed and divided into groups A,B,and C according to the treatment. Group A received conventional treatment,and group B received nasal feeding of Chaiqin Chengqi Decoction on the basis of the group A. Group C was given a neostigmine acupoint injection of Zusanli on the basis of group B. The differences in recovery of intestinal dysfunction and complications after treatment were observed in the three groups. Results： The recovery of intestinal dysfunction and the occurrence of complications were better in group B and C than in group A. The recovery of intestinal dysfunction in group C was faster than that in group B,with fewer complications and better efficacy. Conclusion： Neostigmine acupoint injection combined with Chaishao Chengqi Decoction for the treatment of severe acute pancreatitis can effectively reduce abdominal symptoms,accelerate recovery of gastrointestinal function,shorten hospital stay,reduce complications,and reduce hospitalization costs. It is worthy of clinical promotion.