中药清胰汤联合思他宁治疗重症急性胰腺炎的临床观察

目的 研究中药清胰汤联合思他宁对重症急性胰腺炎(SAP)的临床疗效.方法 121例SAP患者随机分为治疗组(65例)和对照组(56例),两组均给予西医思他宁等常规、对症治疗,治疗组加用清胰汤加减,每日一剂,取汁100 ml,分四次从胃管注入.分别观察两组患者平均腹胀消退时间,平均禁食时间,平均住院时间,手术率,胰周感染率并加以比较.结果 治疗组的各项观察指标明显优于对照组,t检验:P＜ 0.05.结论 中药清胰汤联合思他宁能明显促进胃肠道功能恢复,减少肠道细菌移位,减轻急性炎症反应综合征,减轻胰腺损害,促进胰腺修复,提高疗效,缩短疗程.

Clinical observation of Chinese Medicine Qingyitang combined Stilamin in treatment of severe acute pancreatits

Objective To study the use on curative effect of Chinese medicine Qingyitang in severe acute pancreatitis.Methods 121 cases of severe acute pancreatitis were randomly divided into 2 groups,the control group（n=56） and the treatment group（n=65）.Routine treatment were given in both,otherwise,the chinese medicine Qingyitang was used in the treatment group.Observing and checking two group of the operation rate,the infection rate,the time of abdominal distension removing and fasting and being hospitalized.Results Every index of the treatment group was finer more than the control group.Conclusion The Chinese medicine Qingyitang showed their protective effects on gut barrier function by alleviating the damage of intestinal mucosa and microecologic disturbance following acute pancreatitis.As a result,the chances of bacterial translocation and enterogenic infection declined.These preparation might be raising the treatment effects,As a well,shortening the course of treatment.