大黄水灌肠对急性胰腺炎患者肠道功能恢复的影响  

Effect of rhubarb water enema on the recovery of bowel function in patients with acute pancreatitis

作　　者：章昱[1] 刘朝晖[1] 俞晶[1] 陈素钻[1] 

机构地区：[1]汕头大学医学院第一附属医院消化内科,515041

出　　处：《中国实用医刊》2014年第16期57-58,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨大黄水灌肠对急性胰腺炎患者早期肠道功能恢复的影响。方法收集汕头大学医学院第一附属医院住院治疗的急性胰腺炎患者118例，随机分为两组，对照组给予常规胰腺炎治疗，治疗组在常规治疗的基础上加用大黄水灌肠，对比两组患者腹部胀痛持续时间及首次排便时间，比较两组APACHE II评分、中转手术率、病死率、住院天数及住院费用。结果治疗组与对照组腹部胀痛持续时间分别为（4.0±1.5）d、（6.0±1.8）d，首次排便时间分别为（7.0±2.1）d、（10.0±2.6）d，两组比较差异有统计学意义（ P ﹤0.05）；治疗后治疗组 A-PACHEⅡ积分、中转手术率、病死率、住院天数及住院费用均明显低于对照组（P﹤0.05）。结论大黄水灌肠可以明显缩短患者因肠道功能衰竭引起的腹部胀痛及首次排便时间，改善各项临床指标，值得临床推广应用。Objective To study the effect of rhubarb water enema on the early recovery of bowel function in patients with acute pancreatitis. Methods One hundred and eighteen patients with acute pancreatitis in the first affiliated hospital of Shantou university medical college were randomly divided into two groups,the patients in control group received conventional pancreatitis treatment,and the patients in treatment group were added with rhubarb water enema based on the conventional treatment. The duration of abdominal pain and the first defecation time were compared between the two groups,and APACHE Ⅱscore,operation rate,mortality,hospital stay and hospital costs were also compared between the two groups. Results The duration of abdominal pain was（ 4. 0 ± 1. 5 ）d in the treatment group and （6. 0 ± 1. 8 ）d in the control group,the first defecation time was（ 7. 0 ± 2. 1 ）d in the treatment group and（10. 0 ± 2. 6）d in the control group,there were significant differences（P﹤0. 05）;The APACHE Ⅱpoints,operation rate,mortality,hospital stay and hospitalization costs in treatment group were significantly lower than those in the treatment group（ P﹤0. 05 ）. Conclusions Rhubarb water enema can significantly shorten the abdominal pain and initial defecation time caused by bowel dys-function,and it is worthy of clinical application.

关 键 词：大黄水 急性胰腺炎 肠道功能 

分 类 号：R576[医药卫生—消化系统]