清胰汤联合大黄治疗急性胰腺炎临床疗效对比分析  

Comparative Study of Clinical Therapeutic Effect for Using Rhubarb and Qingyi Decoction in Acute Pancreatitis

作　　者：江涛[1] 刘雷[1] 方茂勇[1] 

机构地区：[1]安徽医科大学第一附属医院急诊外科,合肥230022

出　　处：《安徽卫生职业技术学院学报》2013年第1期19-20,共2页Journal of Anhui Health Vocational & Technical College

基　　金：安徽省科技厅科技计划项目(编号:10021303026)

摘　　要：目的:通过对比研究中药大黄联合清胰汤治疗急性胰腺炎与非中药治疗急性胰腺炎的临床疗效差异,从而更好地指导急性胰腺炎的治疗。方法:调阅安徽医科大学第一附属医院急诊外科收住的急性胰腺炎患者的病历资料共178例,进行回顾性病例对照研究。将急性胰腺炎病人分为大黄联合清胰汤组(RQDG)和对照组(CG),分别调查各组患者的相关指标,将统计结果进行数据分析。结果:RQDG组在症状缓解时间及住院时间上均较CG组短,差异有统计学意义(P<0.05),RQDG在相关实验室指标恢复上均较CG明显,差异有统计学意义(P<0.05)。RQDG组有效率为97.1%,CG组为88.2%,两组差异有统计学意义(P<0.05)。结论:在治疗急性胰腺炎患者过程中,推荐采用中药清胰汤联合大黄缓解患者临床症状、体征,改善实验室检查指标,以及提高临床治愈率。Objective ：To evaluate the effect of traditional Chinese medicine in Acute Pancreatitis, with Compara- tive Study of Clinical Therapeutic Effect for Using Rhubarb with Qingyi Decoction, and then guiding clinical medica- tion preferably.Methods ： The medical record of patients who getting Acute Pancreatitis were refered in the first affili- ated hospital of Anhui medical university and then, we adopted case-control study to analysis. The patients were di- vided into Rhubarb with Qingyi Decoction Group （RQDG） and Control Group （CG）. To study Remission time,the re- suits of laboratory examination. And then the statistical results were entered into SPSS17.0 to take t-test or chi-square test.Results ：The Symptoms and length of stay in RQDG were shorter than those in CG. The difference between RQDG and CG has statistical significance （P〈0.05）. The recovery rate （Fully recovered and effective case） is 97.1% in RQDG, 88.2% in CG, and it has statistically significant difference between them （P〈0.05）. Conclusions：traditional Chinese medicine of Rhubarb with Qingyi Decoction is advised to be used in the patients with acute pancreatitis, to re- lieve the clinical symptoms and signs, and improve the results of laboratory examination and also raise the recovery rate.

关 键 词：急性胰腺炎 大黄 清胰汤 病例对照研究 

分 类 号：R576[医药卫生—消化系统]