莱菔承气汤对重症急性胰腺炎合并肺损伤的治疗作用  

Therapeutic effect of Laifuchengqi Tang on severe acute pancreatitis associated lung injury patients

作　　者：于建楠[1] 寇丽[1] 王简[1] 刘健[1] 尤胜义[1] 

机构地区：[1]天津医科大学总医院普通外科,300052

出　　处：《国际呼吸杂志》2012年第11期859-862,共4页International Journal of Respiration

摘　　要：目的观察莱菔承气汤对重症急性胰腺炎合并肺损伤的影响。方法61例重症急性胰腺炎患者随机分为中药治疗组和常规对照组，中药治疗组在常规治疗基础上给予莱菔承气汤灌肠，对比观察两组患者血气分析指标、血尿淀粉酶、凝血功能指标、影像学检查、体温及白细胞计数恢复正常的时间、排气时间、第一次自行排便时间及APACHE Ⅱ评分的变化。结果相同时间内中药治疗组凝血功能指标、影像学检查、血气分析指标及APACHEⅡ评分明显优于常规对照组（P〈0．05）；体温、白细胞计数恢复正常的时间，恢复排气排便的时间较常规对照组明显缩短（P＜0．05）。结论莱菔承气汤可明显改善重症急性胰腺炎合并肺损伤患者的状况，其机制可能与促进胃肠功能恢复有关。Objective To observe effect of Laifuchengqi Tang on severe acute pancreatitis associated lung injury patients. Methods 61 cases of severe acute pancreatitis patients were randomly divided into the control group and Chinese medicine treatment group, Chinese medicine treatment group was based on conventional treatment to pile Laifuchengqi Tang enema, two groups of patients, observed the imaging examination, coagulation function, arterial blood gas analysis index, blood amylase, urine amylase, body temperature, white blood cells count, exhaust time, first to defecate time and APACHE Ⅱ score changes. Results The same time Chinese medicine treatment group imaging examination index, coagulation function, blood gas analysis index and APACHE Ⅱ score is obviously superior to conventional control group （P 〈0.05）; body temperature, white blood cells count and restore the exhaust defecate time to the control group significantly shortened （ P 〈0.05）. Conclusions Laifuchengqi Tang can greatly improve severe acute pancreatitis patients with lung injury, its mechanism may and promote the recovery of gastrointestinal function.

关 键 词：莱菔承气汤 重症急性胰腺炎 肺损伤 胃肠功能 凝血功能 

分 类 号：R259[医药卫生—中西医结合]