清胰汤与皮硝联合应用治疗急性重症胰腺炎临床观察

目的探讨清胰汤和皮硝在急性重症胰腺炎（SAP）治疗中的联合应用价值。方法65例SAP患者随机分为治疗组（33例）和对照组（32例）。对照组采用常规治疗；治疗组除常规治疗外，另加清胰汤胃管注入及皮硝外敷治疗。结果治疗组腹痛、腹胀等症状缓解时间，开放流质饮食时间，住院时间及血淀粉酶恢复正常时间，均较对照组短（均P〈0．05）；并且并发症少、中转手术率低（均P〈0．05），疗效均优于对照组；两组病死各4例，两组比较，差异无显著性（P〉0．05）。结论西医常规治疗配合清胰汤口服及皮硝外敷，治疗SAP疗效显著。

Clinical Observation on Treatment of Severe Acute Pancreatitis by Combined Administration of Qingyi Decoction and Glauber's Salt

Objective To investigate the value of Qingyi Decoction (QYD) and Glauber's salt (GS) for treatment of severe acute pancreatitis (SAP). Methods Sixty-five patients with SAP were randomly assigned to two groups, the treated group (33 patients) and the control group (32 patients). They received the same therapy except that to the patients in the treated group, QYD was given through naso-gastric tube and GS was applied externally. Results Compared with those in the control group, the alleviating time of clinical symptoms, such as abdominal pain and distention, time of hospitalization and time of blood amylase recovery in the treated group were shorter, with lesser complications and lower rate of transferring to operation (all with P<0.05), showing a better efficacy in all aspects, but the mortality in the two groups was not different (P>0.05). Conclusion Combined use of QYD and GS has significant therapeutic effect for treatment of SAP.