清胰汤腹腔灌洗在重症急性胰腺炎腹腔镜术后的应用价值  

Clinical Value of Qingyi Decoction Peritoneal Lavage in Patients with Severe Acute Pancreatitis after Laparoscopy Operation

作　　者：冯刚[1] 方兴亮[2] 沈惠善[1] 戚仕均[1] 谢立江[1] 方泉[1] 赵萍[1] 赵雄碧[1] 

机构地区：[1]浙江省绍兴市中医院,绍兴312000 [2]浙江省绍兴市人民医院,绍兴312000

出　　处：《中国中医急症》2009年第6期886-887,904,共3页Journal of Emergency in Traditional Chinese Medicine

摘　　要：目的观察重症急性胰腺炎(SAP)患者经腹腔镜置管应用清胰汤行腹腔灌洗的治疗效果。方法将55例重症急性胰腺炎术后患者分为常规治疗组(27例)与清胰汤组(28例)进行治疗;比较两组的疗效和并发症情况。结果清胰汤组临床疗效优于对照组;清胰汤组腹痛腹胀缓解、白细胞正常、淀粉酶正常、CT改变恢复时间和住院时间均短于常规治疗组;清胰汤组术后急性呼吸窘迫综合征(ARDS)、消化道出血、抗生素相关性肠炎(AAC)、高淀粉酶血症发生率低于常规治疗组,而胰漏、假性囊肿、休克、急性肾衰竭和水电解质、酸碱失衡两组相近。结论SAP患者经腹腔镜置管应用清胰汤行腹腔灌洗治疗能够改善疗效和预后,降低术后并发症发生率和死亡率。Objective： To investigate the clinical effect of Qingyi Decoction peritoneal lavage in patients with severe acute pancreatitis（SAP） after laparoscopy operation. Methods： 55 SAP patients were divided into routine treatment group（27 cases） and Qingyi Decoction group（28 cases） . The therapeutic effect and complications were analyzed with SPSS14. 0. Results： The therapeutic effect of Qingyi Decoction group was better than routine treatment group. The convalescent time of symptoms signs, leucocytes count, amylase, etc. and occurrence rate of ARDS, hemorrhage in digestive tract, AAC in Qingyi Decoction group were lower than those of routine treatment group, whereas the differentiation between 2 groups of pancreatic fistula, pseudo cyst, shock were not obvious significance. Conclusion： The Qingyi Decoction peritoneal lavage can improve curative effects and prognosis, and decrease occurrence rate and mortality in patients with SAP after laparoscopy operation.

关 键 词：重症急性胰腺炎 腹腔镜 清胰汤 腹腔灌洗 

分 类 号：R576[医药卫生—消化系统]