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目的:临床验证大承气汤灌肠联合西医常规方法治疗急性胰腺炎的疗效,为该病的治疗提供一种临床常规方案。方法:临床确诊急性胰腺炎患者62例,按入院顺序编号,采用数字随机表随机分为观察组32例,对照组30例,在常规西医治疗的基础上加用大承气汤保留灌肠,1次/d,每次100ml。比较两组临床疗效、住院天数、腹痛腹胀缓解时间、胃肠功能恢复时间及相关炎性指标(白细胞、C反应蛋白)恢复时间。结果:观察组临床疗效优于对照组,在住院天数、腹痛缓解时间、胃肠功能恢复时间及相关炎性指标(白细胞、C反应蛋白)恢复时间上明显优于对照组。结论:大承气汤灌肠治疗急性胰腺炎临床疗效好,能增加治疗效果,减少住院天数,临床值得推广。
Objective: To validate the efficacy of Dachengqi Decoction combined with routine western medicine in the treatment of acute pancreatitis, and to provide a general clinical regimen for the treatment of this disease. Methods: Sixty-two patients with acute pancreatitis were randomly divided into observation group (n = 32) and control group (n = 30). According to the sequence of admission, Dachangqi Decoction Times / d, each time 100ml. The clinical efficacy, length of hospital stay, relief time of abdominal pain and abdominal distension, recovery time of gastrointestinal function and related inflammatory indexes (leukocyte, C-reactive protein) recovery time were compared between the two groups. Results: The clinical efficacy of the observation group was better than that of the control group, which was significantly better than the control group in the days of hospitalization, the time of abdominal pain relief, the recovery time of gastrointestinal function and the related inflammatory indexes (leucocyte and C-reactive protein). Conclusion: Dachengqi Decoction in the treatment of acute pancreatitis has a good clinical curative effect, which can increase the therapeutic effect and reduce the number of days of hospitalization, which is worth clinical promotion.