疏肝清胰、通腑泄浊法治疗肝胆湿热型急性胰腺炎疗效观察

Observation on the Therapeutic Effect of Soothing Liver and Clearing Pancreas、Tongfu and Releasing Turbidity in the Treatment of Hepatobiliary Damp-heat Acute Pancreatitis

目的阐述肝胆湿热型急性胰腺炎采用疏肝清胰、通腑泄浊法治疗的临床效果。方法选取2019年1月至2019年7月南通市通州区中医院收治的75例肝胆湿热型急性胰腺炎患者作为研究对象,按入院时间先后为标准分为观察组与对照组,对照组患者采用常规西医治疗,观察组在此基础上采用疏肝清胰、通腑泄浊汤治疗,比较两组患者治疗效果,评估并分析各组患者治疗前后中医证候评分差异。结果观察组患者经过治疗后总有效率明显高于对照组(P<0.05)。经过治疗后,两组症状均出现改善,观察组各证候评分均低于对照组(P<0.05)。结论肝胆湿热型急性胰腺炎患者通过疏肝清胰、通腑泄浊方法治疗效果显著,提倡推广应用。

Objective To discuss the clinical effects of treating acute pancreatitis with liver-gallbladder damp-heat by soothing the liver and clearing the pancreas and clearing the bowels and releasing turbid energy.Methods A total of 75 cases of acute pancreatitis with Liver and gallbladder dampness and heat were selected from January 2019 to July 2019.On the basis of patients hospitalized time they were divided into observation group and control group.The control group were treated by routine western medicine treatment,and the observation group were given Shugan Qingyi and Tongfu Xiezhuo treatment on the basis of the control group.The therapeutic effect between groups was compared,and TCM symptom scores of each group before and after treatment were evaluted.Results After treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).After the treatment,the symptoms were improved,and the scores of each symptom in the observation group were lower than those in the control group(P<0.05).Conclusion In patients of acute pancreatitis with Liver and gallbladder dampness and heat,the therapeutic effect is remarkable by Shugan Qingyi and Tongfu Xiezhuo,which is worthy to promote the popularization and application.