外敷冰硝散联合口服清胰汤治疗急性胰腺炎临床观察

External Application of Bingxiao Powder Combined with Qingyi Decoction in the Treatment of Acute Pancreatitis

目的观察冰硝散外敷加清胰汤口服联合常规西药治疗急性胰腺炎的临床疗效。方法将文山州中医医院2020年1月—2022年1月收治的63例急性胰腺炎患者按照随机数字表法分为对照组(31例)和试验组(32例)。对照组给予常规西药治疗,试验组在对照组治疗的基础上加用冰硝散外敷联合清胰汤口服治疗。比较治疗前后2组患者的中医证候积分、通便时间、肠道功能评分及临床疗效。结果治疗后,试验组中医证候积分、通便时间及胃肠道功能评分均低于对照组(P<0.05),总有效率高于对照组(P<0.05)。结论冰硝散外敷加清胰汤口服联合常规西药治疗急性胰腺炎,能改善患者胃肠道功能、中医证候学积分,疗效显著。

Objective To observe the clinical effect of external application of Bingxiao powder and Qingyi decoction combined with Western medicine in treating acute pancreatitis.Methods Sixty-three patients with acute pancreatitis admitted to Wenshan Zhuang and Miao Autonomous Prefecture Hospital of Traditional Chinese Medicine from January 2020 to January 2022 were divided into control group of 31 cases and experimental group of 32 cases according to random number table method.The control group was treated with conventional Western medicine,and the experimental group was treated with Bingxiao powder and Qingyi decoction on the basis of the control group.The TCM syndrome score,defecation time,gastrointestinal function score and clinical efficacy of the two groups were compared before and after treatment.Results After treatment,TCM syndrome score,defecation time and gastrointestinal function score of experimental group were lower than those of control group(P<0.05),and total effective rate was higher than that of control group(P<0.05).Conclusion external application of Bingxiao powder and Qingyi decoction combined with Western medicine can improve the intestinal function and TCM syndrome score of the patients with acute pancreatitis,and has significant curative effect.