| 清胰解毒汤鼻饲加芒硝外敷联合西医治疗重症急性胰腺炎随机平行对照研究 |
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| 引用本文： | 程时峰,吴娜,傅志泉,汤归春,傅克模. 清胰解毒汤鼻饲加芒硝外敷联合西医治疗重症急性胰腺炎随机平行对照研究[J]. 实用中医内科杂志, 2014, 0(1): 106-109 |
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| 作者姓名： | 程时峰 吴娜 傅志泉 汤归春 傅克模 |
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| 作者单位： | [1]浙江中医药大学余杭教学医院消化内科,杭州311106 [2]杭州市第三人民医院消化内科,杭州310009 |
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| 摘 要： | [目的]观察清胰解毒汤鼻饲加芒硝外敷联合西医治疗重症急性胰腺炎疗效。[方法]使用随机平行对照方法,将25例住院患者按随机数字表法分为两组。对照组12例西医治疗。①一级护理。②奥曲肽0.6mg+0.9%氯化钠48mL,2次/d,静注。奥美拉唑42.6mg+0.9%氯化钠100mL,2次/d,静滴。亚胺培南西司他汀针1000mg+0.9%氯化钠注射液100mL,静滴,3次/d。甲磺酸加贝酯针0.3g+5%葡萄糖注射液500mL,2次/d,静滴。治疗组13例中医特色治疗。①入院后经胃肠减压12h后拔出胃管,经内镜下置入空肠营养管。清胰解毒汤(生大黄后下30g,芒硝溶、枳实、厚朴、黄连、丹参各15g,蒲公英30g,桃仁、柴胡各10g,延胡索15g),加水500mL浓煎至100mL,30mL/次,3次/d,鼻饲。②芒硝外敷。西医治疗同对照组。连续治疗10d为1疗程。观测临床症状、时间指标、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组显效9例,有效3例,无效1例,总有效率88.31%。对照组显效6例,有效4例,无效2例,总有效率72.33%。治疗组疗效优于对照组(P0.05)。各项时间指标治疗组均少于对照组(P0.05)。[结论]清胰解毒汤鼻饲加芒硝外敷联合西医治疗重症急性胰腺炎效果显著,值得推广。
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| 关 键 词： | 重症急性胰腺炎 清胰解毒汤 芒硝 奥曲肽 奥美拉唑 亚胺培南西司他汀 甲磺酸加贝酯 随机平行对照研究 |
Qingyi Decoction Prescription Nasal Feeding and Mirabilite and Western Medicine in the Treatment of Severe Acute Pancreatitis on Random Parallel Control |
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| CHENG Shifeng,WU Na,FU Zhiquan,TANGGuichun,FU Kemo. Qingyi Decoction Prescription Nasal Feeding and Mirabilite and Western Medicine in the Treatment of Severe Acute Pancreatitis on Random Parallel Control[J]. , 2014, 0(1): 106-109 |
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| Authors: | CHENG Shifeng WU Na FU Zhiquan TANGGuichun FU Kemo |
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| Affiliation: | 1.Gastrointestinal Department of Internal Medicine Zhejiang Chinese Medicine University Teaching Hospital in Yuhang, Hangzhou 311106, China; 2. Digestion Department of Internal Medicine, Third People＇s Hospital of Hangzhou City, Hangzhou 310009, China ) |
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| Abstract: | |
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| Keywords: | Severe acute pancreatitis Qingyi Decoction Mirabilite Octreotide Omeprazole needle Imipenem and statins needle Gabexate mesilate needle Randomized parallel controlled study |
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