清胰汤防治ERCP术后高淀粉酶血症及急性胰腺炎临床观察  

Clinical Observation of "Qingyi Decoction" in Preventing and Treating Hyperamylasemia and Acute Pancreatitis Following Endoscopic Retrograde Cholangio Pancreatography

作　　者：唐晓丹[1] 王约青[1] 赵坚[1] 姜民[1] 

机构地区：[1]上海中医药大学附属市中医医院,上海200071

出　　处：《上海中医药杂志》2008年第6期30-31,共2页Shanghai Journal of Traditional Chinese Medicine

摘　　要：目的 观察清胰汤防治ERCP术后高淀粉酶血症和急性胰腺炎的临床疗效。方法46例ERCP术后患者随机分为中药组（23例）和对照组（23例），均给予常规治疗；中药组加用清胰汤。观察两组患者ERCP术后出现高淀粉酶血症和急性胰腺炎例数，血清淀粉酶水平的变化，血淀粉酶恢复正常和临床症状缓解时间。结果中药组患者术后高淀粉酶血症或急性胰腺炎的发生例数明显少于对照组，血清淀粉酶上升幅度明显低于对照组（P〈0．05，0．01），血淀粉酶水平恢复正常和临床症状缓解时间明显短于对照组（P〈0．05）。结论清胰汤能减少ERCP术后高淀粉酶血症及急性胰腺炎的发生，加快血淀粉酶恢复和临床症状的缓解。Objective To observe the clinical effects of ＂Qingyi Decoction＂ in the prevention and treatment of hyperamylasemia and acute pancreatitis following endoscopic retrograde cholangio pancreatography （ERCP）. Methods Forty-six subjects were randomized into two groups： treatment group in which 23 cases were treated with routine therapy plus ＂Qingyi Decoction＂, and control group in which 23 cases were treated with simple routine therapy. The numbers of the onset of hyperamylasemia and acute pancreatitis were observed. The level of blood amylase, and the time of blood amylase restoration to normal and clinical symptoms relief were observed. Results The hyperamylasemia and acute pancreatitis happened less frequently in treatment group than in control group. The blood amylase in the treatment group was lower than that in control group （P〈 0.05-0.01）. The time of clinical symptoms relief and the restoration of blood amylase to normal was shorter in treatment group than in control group （P 〈 0.03）. Conclusion ＂Qingyi Decoction＂ can reduce the onset of hyperamylasemia and acute pancreatitis following ERCP and accelerate the restoration of blood amylase and clinical symptoms relief.

关 键 词：胰胆管造影术 高淀粉酶血症 急性胰腺炎 清胰汤 

分 类 号：R259[医药卫生—中西医结合]