清胰汤联合冰硝散外敷在急性胰腺炎胰周积液中的应用  

Application of Qingyi Decoction combined with Bingxiao Powder for external application in peripancreatic effusion of acute pancreatitis

作　　者：汉利 张晓[1] HAN Li;ZHANG Xiao(Department of Hepatobiliary,Pancreatic and Splenic Surgery,Rizhao Traditional Chinese Medicine Hospital,Shandong Province,Rizhao 276800,China)

机构地区：[1]山东省日照市中医医院肝胆胰脾外科,山东日照276800

出　　处：《中国当代医药》2024年第4期129-132,共4页China Modern Medicine

摘　　要：目的探讨清胰汤联合冰硝散外敷在急性胰腺炎胰周积液中的应用价值。方法选择2021年1月至2023年2月日照市中医医院收治的80例急性胰腺炎并发胰周积液患者为研究对象。按照随机数字表法分为观察组及对照组,各40例。对照组应用清胰汤口服,观察组则在口服清胰汤的基础上联合冰硝散经皮外敷。比较两组的腹痛、腹胀、肠鸣音恢复正常时间,比较两组血淀粉酶恢复正常时间和胰周积液吸收50%以上时间,观察两组治疗过程中C反应蛋白水平变化,统计两组的并发症总发生率及住院时间。结果观察组的腹痛、腹胀及肠鸣音恢复正常时间短于对照组,差异有统计学意义(P<0.05),观察组的血淀粉酶恢复正常时间和胰周积液吸收50%以上时间短于对照组,差异有统计学意义(P<0.05),两组患者治疗3、7 d时的C反应蛋白水平均低于治疗前,治疗7 d时的C反应蛋白水平低于治疗3 d时,差异有统计学意义(P<0.05),且观察组治疗3、7 d时的C反应蛋白水平均低于对照组同期,差异有统计学意义(P<0.05),观察组的并发症等总发生率低于对照组,差异有统计学意义(P<0.05)。结论针对急性胰腺炎胰周积液,清胰汤灌肠或口服联合冰硝散外敷,可促进胃肠道功能恢复,促进积液吸收,抑制机体炎症,减少胰腺炎相关并发症,缩短住院时间。Objective To explore the application value of Qingyi Decoction combined with Bingxiao Powder for external application in peripancreatic effusion of acute pancreatitis.Methods A total of 80 cases of acute pancreatitis complicated with peripancreatic effusion admitted in Rizhao Traditional Chinese Medicine Hospital from January 2021 to February 2023 were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was treated with Qingyi Decoction orally,and the observation group was treated with Qingyi Decoction combined with percutaneous external application of Bingxiao Powder.The recovery time of abdominal pain,abdominal distension and bowel sounds,the recovery time of blood amylase and the absorption time of peripancreatic effusion of more than 50%in the two groups were compared.The changes of C-reactive protein level during the treatment were observed and the total incidence of complications and hospitalization time in the two groups were counted.Results The recovery time of abdominal pain,abdominal distension and bowel sounds in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The recovery time of blood amylase and the absorption time of more than 50%of peripancreatic effusion in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The levels of C-reactive protein in the two groups were lower than those before treatment for 3 and 7 days,and the differences were statistically significant(P<0.05).The levels of C-reactive protein in the observation group were lower than those in the control group for 3 and 7 days,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion For peripancreatic effusion in acute pancreatitis,oral Qingyi

关 键 词：清胰汤 冰硝散 外敷 急性胰腺炎 胰周积液 

分 类 号：R576[医药卫生—消化系统]