首页 | 本学科首页   官方微博 | 高级检索  
     

柴芩承气汤灌肠联合甲氧氯普胺足三里穴位注射对急性胰腺炎的疗效研究
引用本文:尹显兰,杨永宏,胡志蓉,张雪,黄正桥. 柴芩承气汤灌肠联合甲氧氯普胺足三里穴位注射对急性胰腺炎的疗效研究[J]. 辽宁中医杂志, 2014, 0(10): 2127-2130
作者姓名:尹显兰  杨永宏  胡志蓉  张雪  黄正桥
作者单位:彭州市中医医院内科,四川彭州611930
摘    要:目的:探讨柴芩承气汤加减灌肠联合甲氧氯普胺足三里穴位注射对急性胰腺炎的影响。方法:以126例急性胰腺炎为研究对象,将患者按照随机原则分为A、B、C 3个组,A组采用西医常规治疗,B组在A组基础上使用柴芩承气汤加减灌肠治疗;C组在B组的基础上加用甲氧氯普胺针双侧足三里穴位注射治疗。观察三组患者肠麻痹解除时间、住院治疗天数及预后情况。结果:B组肠鸣音恢复时间、肛门首次排气、排便时间以及住院治疗天数明显短于A组,入院后第7天APACHEⅡ评分明显低于A组,没有中转手术和死亡患者,A、B两组间比较,以上指标差异均有统计学意义(P<0.05或0.01)。C组肠鸣音恢复时间(32.6±3.9)h,肛门首次排气、排便时间以及住院治疗天数明显短于B组,入院第3天和第7天APACHEⅡ评分均明显优于B组,C组出现感染等并发症3例,B、C两组间比较以上指标差异均有统计学意义(P<0.05或0.01)。中转手术率及死亡率3组间比较没有显著性差异(P>0.05)。结论:急性胰腺炎在西医综合治疗的基础上采用柴芩承气汤中药灌肠对肠麻痹有明显的改善作用,能够有效促进胃肠蠕动,利于胃肠功能的恢复。在中药灌肠的基础上再配合甲氧氯普胺足三里穴位注射能够进一步提高灌肠的治疗效果,起效快,并发症少。

关 键 词:急性胰腺炎  足三里  穴位注射  甲氧氯普胺  柴芩承气汤  灌肠

Clinical Effect Study of Chaiqin Chengqi Decoction Enema Combined with Metoelopramide Zusanli Acupoint Injection for Acute Pancreatitis
YIN Xianlan,YANG Yonghong,HU Zhirong,ZHANG Xue,HUANG Zhengqiao. Clinical Effect Study of Chaiqin Chengqi Decoction Enema Combined with Metoelopramide Zusanli Acupoint Injection for Acute Pancreatitis[J]. Liaoning Journal of Traditional Chinese Medicine, 2014, 0(10): 2127-2130
Authors:YIN Xianlan  YANG Yonghong  HU Zhirong  ZHANG Xue  HUANG Zhengqiao
Affiliation:( Dept. of Internal Medicine, Pengzhou Chinese Medicine Hospital, Pengzhou 611930, Sichuan, China)
Abstract:Objective:To investigate the clinical curative effect of Chaiqin Chengqi Decoction enema combined with metoclopramide Zusanli injection for acute pancreatitis. Methods :126 cases of acute pancreatitis were as the studied objects, and the patients were divided into A, B and C groups in accordance with the principle of random and voluntary. A group was treated with routine western medicine, and group B was treated with Chaiqin Chengqi Decoction enema on the base of A group. C group was used of metoclopramide Zusanli injection treatment on the base of B group. The intestinal paralysis lift time, hospitalization days and prognosis of three groups were observed. Results : In B group, the recovery time of bowel sound, anal exhaust time, defecate time and hospitalization days were shorter than those in the A group,APACHE Ⅱ score of 7th days was significantly lower than that in A group, there were no transit operation and death cases in B group. Compared the above indexes between groups A and B, the differences were significant (P 〈0. 05 or P 〈0. 01 ). In C group,the recovery time of bowel sound (32.6 ±3.9) h,anal exhaust time, defecate time and hospitalization days were shorter than those in the B group. The APACHE II score of the 3rd and 7th day were significantly higher than that in group B, and with 3 cases of complications such as infection in group C. Compared the above indexes between group B and C, the differences were statistically significant ( P 〈 0. 05 or P 〈 0. 01 ). Transit operation rate and mortality between three groups had no significant difference ( P 〉 0. 05 ). Cotwlusion : Using traditional Chinese medicine of Chaiqin Chengqi Decoction enema on the base of Western medicine treatment in acute pancreatitis, it was effective for intestinal paralysis, and could promote gastrointestinal peristalsis and favor the gastrointestinal function recovery. By making use of metoclopramide Zusanli acupoint injection on the base of enema, the effect of traditional Chinese medicine
Keywords:acute pancreatitis  Zusanli  acupoint injection  metoclopramide  Chaiqin Chengqi Decoction  enema
本文献已被 维普 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号