摘要
目的:总结中药复方治疗重症急性胰腺炎(SAP)的用药经验和特点,探讨其用药规律,并评价其疗效.方法:收集1970-2006年核心期刊中治疗重症急性胰腺炎的临床研究文献,共入选复方83首,再对出现频率较高的中药进行分析;通过总结有效率及疗效评价指标等探讨中医药治疗SAP现状.结果:目前治疗SAP以泻下、理气、清热、活血为主.应用最多的是大黄,应用频率达到100%.中医药在治疗重症胰腺炎方面,效果是肯定的,平均有效率89.12%;固定方剂鼻饲为主,随证加减占39.66%;平均疗程8.7d;治疗效果以症状改善为主.结论:泻下法是治疗重症急性胰腺炎的主要方法,理气、清热、活血常与其联合应用.中药治疗SAP效果肯定,但需规范化.
AIM： To study the rules in the treatment of severe acute pancreatitis （SAP） with Chinese herbal drugs. METHODS： We reviewed all articles on the use of herbal medicine in SAP published in key journals between 1970 and 2006, and 83 herbal formulations fit to screening standards were selected for evaluation. The status of herb use in the treatment of SAP is discussed by evaluation of their mean effective rate and efficiency, RESULTS： The important methods for curing SAP were purgation, regulating vital energy, eradicating phlegmonosis, and promoting blood flowing. The most frequently used substance is dahuang, which appears in all herbal formulas studied. The mean effective power of herbs used for the treatment of SAP was 89.12%, and its main mode of administration was via nasal feeding with retained herbal formulas, The average course of treatment was 8.7 days. The curative effect of herbs was mainly to improve symptoms.CONCLUSION： The main methods of TCM to cure SAP are purgation, regulating vital energy, eradicating phlegmonosis, and promoting blood flow. Herbal use is effective in treating SAP, but more normalization about the performance of herbs is needed.
出处
《世界华人消化杂志》
CAS
北大核心
2007年第27期2945-2948,共4页
World Chinese Journal of Digestology
关键词
重症急性胰腺炎
中药治疗
泻下法
疗效评价
Severe acute pancreatitis
Traditional Chinese Medicine
Purgation
Therapeutic effect evaluation
