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中药治疗重症急性胰腺炎的规律
引用本文:张敏,朱德增.中药治疗重症急性胰腺炎的规律[J].世界华人消化杂志,2007,15(27):2945-2948.
作者姓名:张敏  朱德增
作者单位:中国人民解放军第二军医大学附属长海医院中医科,上海市,200433
摘    要:目的:总结中药复方治疗重症急性胰腺炎(SAP)的用药经验和特点,探讨其用药规律,并评价其疗效.方法:收集1970-2006年核心期刊中治疗重症急性胰腺炎的临床研究文献,共入选复方83首,再对出现频率较高的中药进行分析;通过总结有效率及疗效评价指标等探讨中医药治疗SAP现状.结果:目前治疗SAP以泻下、理气、清热、活血为主.应用最多的是大黄,应用频率达到100%.中医药在治疗重症胰腺炎方面,效果是肯定的,平均有效率89.12%;固定方剂鼻饲为主,随证加减占39.66%;平均疗程8.7d;治疗效果以症状改善为主.结论:泻下法是治疗重症急性胰腺炎的主要方法,理气、清热、活血常与其联合应用.中药治疗SAP效果肯定,但需规范化.

关 键 词:重症急性胰腺炎  中药治疗  泻下法  疗效评价
收稿时间:2007-04-27
修稿时间:2007-09-17

Guidelines for the treatment of severe acute pancreatitis with Chinese herbal medicines
Min Zhang,De-Zeng Zhu.Guidelines for the treatment of severe acute pancreatitis with Chinese herbal medicines[J].World Chinese Journal of Digestology,2007,15(27):2945-2948.
Authors:Min Zhang  De-Zeng Zhu
Abstract:AIM:To study the rules in the treatment of severe acute pancreatitis(SAP)with Chinese herbal drugs. METHODS:We reviewed all articles on the use of herbal medicine in SAP published in key journals between 1970 and 2006,and 83 herbal formulations fit to screening standards were selected for evaluation.The status of herb use in the treatment of SAP is discussed by evaluation of their mean effective rate and efficiency. RESULTS:The important methods for curing SAP were purgation,regulating vital energy, eradicating phlegmonosis,and promoting blood flowing.The most frequently used sub- stance is dahuang,which appears in all herbal formulas studied.The mean effective power of herbs used for the treatment of SAP was 89.12%,and its main mode of administration was via nasal feeding with retained herbal for- mulas.The average course of treatment was 8.7 days.The curative effect of herbs was mainly to improve symptoms. CONCLUSION:The main methods of TCM to cure SAP are purgation,regulating vital energy, eradicating phlegmonosis,and promoting blood flow.Herbal use is effective in treating SAP,but more normalization about the performance of herbs is needed.
Keywords:Severe acute pancreatitis  Traditional Chinese Medicine  Purgation  Therapeutic effect evaluation
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