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目的观察在西医治疗基础上运用大柴胡汤配合芒硝腹部外敷缓解急性胰腺炎(AP)腹痛、腹胀症状的疗效。方法选取2011年1月—2013年12月辽宁中医药大学附属医院急诊科收治的中医辨证为腑实热结证的AP患者62例,采用随机数字表法分为治疗组33例和对照组29例。2组均给予西医常规治疗,治疗组加用大柴胡汤加减,每日1剂,少量多次口服或分3次胃管注入,并予芒硝500 g脐周腹壁外敷,每12 h更换1次。采用视觉模拟法比较2组患者腹痛缓解时间、首次排便时间并记录住院时间。结果治疗组腹痛缓解时间、腹胀缓解时间、首次排便时间及住院时间均较对照组短,差异有统计学意义(P<0.05)。结论大柴胡汤配合芒硝腹壁外敷治疗具有缓解AP患者腹痛、腹胀症状,恢复肠道功能等疗效。
Objective To observe the curative effect of using Dachaihu Tang with Glaucoma Abdomen on the basis of western medicine to relieve abdominal pain and abdominal distension of acute pancreatitis (AP). Methods From January 2011 to December 2013, 62 cases of AP patients with syndrome differentiation of traditional Chinese medicine treated by emergency department of Liaoning Medical University Affiliated Hospital were divided into treatment group (33 cases) and control group (29) example. The two groups were given conventional treatment of Western medicine, the treatment group plus Dachaihu Decoction, a daily dose, a small amount of oral or three times a small number of gastric tube and Glauber’s 500g umbilical abdominal wall topical change every 12 h . The visual analogue method was used to compare the pain relief time, defecation time and hospitalization time in the two groups. Results The pain relief time, abdominal distension time, first defecation time and hospital stay in the treatment group were shorter than those in the control group (P <0.05). Conclusions Dachaihu decoction combined with topical application of Glauber’s salt abdominal wall can relieve the symptoms of abdominal pain, abdominal distension, and recovery of intestinal function in patients with AP.