摘要
目的:观察鼻饲枳实导滞汤治疗轻中度急性胰腺炎的临床效果。方法:将90例轻中度急性胰腺炎患者按随机方法分成两组,两组均采取禁食、胃肠道减压、静脉营养、抗感染、维持酸碱水电平衡等基础治疗,对照组使用生长抑素(奥曲肽)0.1mg皮下注射,每8h一次,治疗7d为一个疗程。治疗组在上述基础上使用枳实导滞汤鼻饲。观察治疗后患者的症状、体征、化验指标等变化情况,评价其临床效果。结果:治疗组血白细胞、血清淀粉酶、CRP等血清指标水平及尿淀粉酶明显低于对照组(P<0.05);肠鸣音恢复时间、排便恢复时间及腹痛、腹胀缓解时间等各项观察指标均明显短于对照组(P<0.05);治疗组7d后总有效率优于对照组(P<0.05)。结论:鼻饲枳实导滞汤治疗轻中度急性胰腺炎能改善患者症状、体征及化验指标,提高疗效。
Objective:To observe clinical effects of the Zhishi Daozhi decoction via nasal feeding on mild to moderate acute pancreatitis.Methods:90patients were randomly divided into two groups,and received conventional treatment.The control group received somatostatin injection of0.1mg,8hours per time,7days as a course.The treatment group took the Zhishi Daozhi decoction more.Results:Serum levels of white blood cells,serum amylase,CRP and the level of urine amylase in the treatment group were lower(P<0.05).The recovery time of bowel sound and defecation,the disappearance of abdominal pain and distention were much shorter(P<0.05).Efficacy in the treatment group was bette(P<0.05).Conclusion:The Zhishi Daozhi decoction via nasal feeding is effective.
出处
《中医临床研究》
2017年第5期11-13,共3页
Clinical Journal Of Chinese Medicine
