大黄、皮硝在重症急性胰腺炎中的联合应用  

Combined administration of rhubarb and niatrii sulfas for severe acute pancreatitis

作　　者：李军[1] 张辉[1] 朱雷明[1] 王学志[1] 丁峻岭[1] 

机构地区：[1]上海市长宁区中心医院肝胆外科,上海200336

出　　处：《中国普通外科杂志》2006年第6期412-414,共3页China Journal of General Surgery

摘　　要：目的探讨大黄和皮硝联合治疗对重症急性胰腺炎(SAP)的治疗价值。方法8 3例SAP患者随机分为皮硝、大黄治疗组(A组,4 5例)和对照组(B组,3 8例)。对照组采用常规治疗,治疗组除采用胃管注入生大黄汁加外敷皮硝,其余治疗均与对照组相同。结果与对照组比较,治疗组腹痛、腹胀等临床症状缓解迅速,开放饮食早,出现并发症少、住院时间短(均P<0.0 5),但病死率两组差异无显著性(P>0.0 5)。结论大黄、皮硝联合应用治疗SAP有明显的临床效果。Objective To discuss the therapeutic effects of rhubarb and natrii sulfas for severe acute pancreatitis（SAP）. Methods Eighty-three patietns with SAP were randomly divided into treatment group （group A, n =45 ） and control group（ group B, n = 38 ）. The 2 groups received the same therapy except that group A received rhubarb and natrii sulfas through nasogastric tube. Results In treatment group compared to control group, the clinical symptoms such as abdominal pain and distention were more quickly relieved, with early return to oral food intake, lesser complications and shorter hospital stay （ all with P 〈 0.05 ）. Conclusions Combined use of rhubarb natrii sulfas for treatment of SAP has a significant therapentic effect.

关 键 词：胰腺炎/中医药疗法 急性病 大黄/治疗应用 皮硝/治疗应用 

分 类 号：R657.51[医药卫生—外科学] R549.7[医药卫生—临床医学]