参附注射液合大承气汤对急性胰腺炎胃肠动力障碍的影响  

Effect of Chinese medicine Shen-Fu injection and Jiawei Dachengqi decoction on gastrointestinal dyskinesis of acute pancreatitis

作　　者：刘宝清[1] 余文[1] 门斯烨[1] 张少辉[1] 刘会良[1] 杨成城[1] 吴伟[1] 

机构地区：[1]北京中医药大学东方医院普外科,北京100078

出　　处：《陕西中医》2016年第4期438-440,共3页Shaanxi Journal of Traditional Chinese Medicine

摘　　要：目的:探讨参附注射液联合加味大承气汤对急性胰腺炎(AP)胃肠动力障碍的影响。方法:研究对象随机分为对照组36例给予常规西药治疗,治疗组34例在常规西药治疗的基础上加用中药。应用APACHEⅡ及Balthazar CT分级对入院时病情进行评分,观察24h钡条全胃肠排空率,行胃肠功能评分。结果:与对照组相比,中药可明显增加24h钡条排出率、恢复肠鸣音、改善胃肠功能评分(P<0.05)。结论:AP患者常存在胃肠动力障碍,在西药治疗的同时加用参附注射液合加味大承气汤可明显改善胃肠动力,从而促进AP病情的恢复。Objective：To investigate the effect of Chinese medicine Shen-Fu injection and Jiaweidachengqi decoction on gastrointestinal dyskineis of acute pancreatitis（AP）.Methods：70 AP cases were randomly divided into two groups：36cases of the control group were received the conventional western medicine treatment,34 cases of the treatment group were received the conventional western treatment combined with traditional Chinese medicine.The severity of AP patients on admission was evaluated retrospectively according to APACHE Ⅱand Balthazar CT scoring system.Barium gastrointestinal motility rate was observed for 24 hours and the score of gastrointestinal motility function was done.Results：Compared to the control group,the barium excretion rate in twenty four hours were increased,the peristaltic sounds were restored and the score of gastrointestinal motility function were improved obviously by traditional Chinese medicine（P 〈0.05）.Conclusion：Chinese medicine Shen-Fu injection and Jiaweidachengqi decoction can improve the gastrointestinal motility in AP patients with the gastrointestinal dyskinesis,thereby it can promote the recovery of AP patient＇s condition.

关 键 词：胰腺炎/并发症 胃肠疾病/中医药疗法 参附注射液 大承气汤/治疗应用 

分 类 号：R657.51[医药卫生—外科学]