大柴胡汤加减治疗急性肝郁气滞型胰腺炎患者疗效观察  

Efficacy observation of modified Dachaihu decoction on acute pancreatitis of liver-depression and qi-stagnation

作　　者：陈锴[1] 关小明[1] 

机构地区：[1]广东省佛山市中医院

出　　处：《山西中医》2016年第6期15-17,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的：观察大柴胡汤加减治疗急性肝郁气滞型胰腺炎的临床效果。方法：选取在我院接受治疗的急性肝郁气滞型胰腺炎患者80例,采用随机数字表法随机分为两组,每组40例。对照组患者使用基础西药法治疗,观察组患者同时服用大柴胡汤加减,治疗1周。结果：观察组总有效率为95.00%（95%CI=78.58%~99.78%）,对照组为67.50%（95%CI=52.98%~82.02%）,两组综合疗效比较（u=3.047 3,P=0.004 1）,差异有显著性意义。结论：采用大柴胡汤加减中西医结合治疗急性肝郁气滞型胰腺炎的临床疗效优于单纯应用西医疗法,其收益为OR=0.23（95%CI=0.05~1.11）,NNT=4（95%CI=2.24~9.62）。Objective： To evaluate the clinical effect of modified Dachaihu decoction combined with western medicine on acute pancreatitis of liver-depression and qi-stagnation. Methods： 80 cases of treated patients with acute pancreatitis of liver-depression and qi-stagnation were selected in our hospital,and randomly divided into two groups,40 cases in each group. The patients in control group were treated with conventional western medicine,while the patients in observation group were treated at the same time with modified Dachaihu decoction combined with conventional western medicin,for 1 week. The changes of clinical biochemical indexes and clinical symptoms of two groups were compared before and after treatment. Results： The total effective rate in observation group was95. 00%（ 95% CI = 78. 58% ~ 99. 78%）,while that in control group was 67. 50%（ 95% CI = 52. 98% ~82. 02%）. Compared the comprehensive effects of two groups（ U = 3. 047 3,P = 0. 004 1）,the difference was statistically significant. Conclusions： The clinical effect of modified Dachaihu decoction combined with western medicine on acute pancreatitis of liver-depression and qi-stagnation is better than that only with western medicine.Its benefit is OR = 0. 23（ 95% CI = 0. 05 ~ 1. 11）,NNT = 4（ 95% CI = 2. 24 ~ 9. 62）.

关 键 词：肝郁气滞型 胰腺炎 大柴胡汤 

分 类 号：R657.51[医药卫生—外科学]