自拟柴芍三黄汤联合生大黄灌肠治疗湿热壅滞型急性胰腺炎的疗效评估  

Evaluation of the Efficacy of Self-simulated Chai Paeonia Sanhuang Decoction Combined with Raw Rhubarb Enema in the Treatment of Damp-heat Stagnation Acute Pancreatitis

作　　者：朱鹏达 莫潘清 陈广焕 ZHU Peng-da;MO Pan-qing;Chen Guang-huan(Maoming Hospital of Traditional Chinese Medicine,Maoming 525000,Guangdong Province,China)

机构地区：[1]茂名市中医院,广东茂名525000

出　　处：《罕少疾病杂志》2024年第7期73-75,共3页Journal of Rare and Uncommon Diseases

基　　金：茂名市科技计划项目(201113174550444)。

摘　　要：目的在湿热壅滞型急性胰腺炎的治疗中,应用自拟柴勺三黄汤联合大黄灌肠进行联合治疗,并对其疗效进行评估。方法取茂名市中医院2020年12月-2022年06月之间收治的30例湿热壅滞型急性胰腺炎患者,经随机方式划分为对照组、治疗组,分别给予常规西药治疗(抑制胃酸、胰腺分泌;抗感染等)、前者基础上增加自拟柴勺三黄汤联合大黄灌肠,对其疗效展开评估。结果不同组别人员经相应治疗方式后,对其白细胞、PCT、血清淀粉酶、APACHE-II评分表情况进行探究,可见入院第三天、第七天治疗组人员数据均优于对照组(P<0.05);对临床相关症状缓解时间(腹痛、腹胀)、住院时间展开探析,可见治疗组所花费的时间均短于对照组(P<0.05);从总有效率来看,对照组判定为显效的总人数为6例,有效为9例,治疗组显效与有效人数分别为10例、5例,整体而言治疗组所获疗效更具理想性。结论对于湿热壅滞型急性胰腺炎患者而言,利用自拟柴勺三黄汤联合大黄灌肠实施治疗,可获得较好的临床疗效,对疾病所带来的相关症状有较好的缓解作用,可降低炎性因子水平,促进机体的恢复。Objective In the treatment of damp-heat stagnation acute pancreatitis,the combined treatment of self-simulated Chai Shao Sanhuang decoction combined with rhubarb enema was used to evaluate its efficacy.Methods A total of 30 patients with damp-heat stagnation acute pancreatitis admitted to Maoming Hospital of Traditional Chinese Medicine from December 2020 to June 2022 were randomly divided into control group and treatment group,and were treated with conventional western medicine(inhibition of gastric acid and pancreatic secretion;Anti-infection,etc.),on the basis of the former,the self-simulated Chai Spoon Sanhuang decoction combined with rhubarb enema was added to evaluate its efficacy.Results The white blood cells,PCT,serum amylase and APACHE-II scores of different groups were explored after corresponding treatments,and the data of the treatment group on the third and seventh days of admission were better than those of the control group(P<0.05).The time to remission of clinically relevant symptoms(abdominal pain,abdominal distension)and hospital stay were analyzed,and it was found that the time spent in the treatment group was shorter than that in the control group(P<0.05).From the perspective of total effective rate,the total number of patients in the control group was 6 cases,9 cases were effective,and the number of patients in the treatment group was 10 cases and 5 cases,respectively.Conclusion For patients with damp-heat stagnation acute pancreatitis,the treatment of self-simulated chai spoon Sanhuang decoction combined with rhubarb enema can achieve good clinical efficacy,alleviate the related symptoms caused by the disease,reduce the level of inflammatory factors,and promote the recovery of the body.

关 键 词：湿热壅滞型 急性胰腺炎 自拟柴勺三黄汤 大黄灌肠 

分 类 号：R285.5[医药卫生—中药学] R657.51[医药卫生—中医学]