大陷胸汤保留灌肠治疗急性胰腺炎的临床观察

Cli nical Effect of Daxianxiong Decoction Retention Enema Ultrasonic Evaluation on Acute Pancreatitis

目的观察大陷胸汤保留灌肠治疗急性胰腺炎在超声上的疗效体现。方法选取115例患者作为研究对象,分成对照组和观察组。对照组予西医治疗;观察组大陷胸汤保留灌肠治疗,治疗后均予超声检查,观察在超声上变化。结果两组白细胞、血清淀粉酶恢复正常时间差异有统计学意义(P<0.05);治疗后对照组胰腺弥漫性肿大、包膜毛糙不清、胰腺实质回声减低、不均匀分布、不规则液性暗区、无回声包块、乱团状回声、下腹腔积液、门静脉血栓、气体全反射回声发生率与观察组比较差异有统计学意义(P<0.05)。结论大陷胸汤保留灌肠治疗急性胰腺炎临床效果显著,超声上能有一定体现。

Objective: To observe the effect of Daxianxiong Decoction retention enema ultrasound on the treatment of acute pancreatitis. Methods: 115 cases of acute pancreatitis patients were divided into 2 groups. Control group with 56 cases were given western medicine treatment,while the observation group with 59 cases were treated with Daxianxiong Decoction retention enema treatment and after treatment with ultrasound. changes in ultrasound were observed. Results: The time of white blood cells,serum amylase returning to normal and the remission time of clinical symptoms such as abdominal pain,bowel sounds,nausea,vomiting,fever,autonomous rebound tenderness,abdominal tenderness of observation group were earlier than those of control group(P < 0.05);the incidence rate of diffuse enlargement of the pancreas,unclear coated coarse,pancreatic parenchyma echo,uneven distribution,irregular fluid dark space,anechoic group that bag piece,echoes,the incidence of abdominal cavity effusion,portal vein thrombosis,gas total reflection echo of observation group were lower than those of the control group(P < 0.05). Conclusion: Effects of Daxianxiong Decoction retention enema on acute pancreatitis clinical is remarkable,which has certain embodiment in ultrasound.