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1、柴芩承气汤治疗急性重症胰腺炎探索性探究[摘要]目的:研究柴芩承气汤治疗急性重症胰腺炎(ASP)的作用。方法:急性重症胰腺炎患者33例(男21例,女12例),按治疗方案分为中西医结合治疗组(23例)和单纯西医治疗组(10例)。中西医结合治疗组在传统西医治疗方案的基础上加用中药柴芩承气汤。结果:33例患者均治愈出院,但在住院时间、治疗费用、连续睡眠时间长短以及自主排便天数方面,中西医结合治疗组明显优于单纯西医治疗组,在镇痛药物使用上,中西医结合治疗组的应用剂量明显低于单纯西医治疗组。结论:柴芩承气汤在治疗急性重症胰腺炎的治疗中作用显著,中西医结合治疗优势明
2、显。[关键词]柴芩承气汤;急性重症胰腺炎;中西医结合[中图分类号]R576[文献标识码]A[文章编号]1674-4721(2010)06(a)-005-03ExploratorystudyontheeffectofChaiqinchengqiDecoctiontreatingacuteseverepancreatitisJINQi1,LIMingzhen2,SHENYanxing3,HUMingming4,HANZhongrong1,JIANGBei1,HUANGShuo2(1.DepartmentofInternalMedicine,theFirst
3、6AffiliatedHospitalofJiamusiUniversity,HeilongjiangProvince,Jiamusi154003,China;2.DepartmentofSurgery,theFirstAffiliatedHospitalofJiamusiUniversity,HeilongjiangProvince,Jiamusi154003,China;3.DepartmentofInternalMedicine,HegangRedCrossHospital,HeilongjiangProvince,Hegang154100,Ch
4、ina;4.DepartmentofInternalMedicine,ShandongProvinceAnkangHospital,ShandongProvince,Jining273500,China)[Abstract]Objective:TostudytheeffectofChaiqinchengqiDecoctiontreatingacuteseverepancreatitis(ASP).Methods:33casesofASP(male21cases,female12cases),weredividedintotwogroupsbythedi
5、fferenttherapy:group1usedclinicalmedicinecombinedwithChinesetraditionalmedicine(23patients),group2onlyusedclinicalmedicine(10patients).WechoseChaiqinchengqiDecoctionasthetraditionalChinesemedicine.Results:33casesofpatientswereallcuredanddischarge.However,thetwogroupsweredifferen
6、tintheduration,expense,6timeofcontinuingsleepandthetimeofstool.Thegroup1wasbetterthangroup2.Theusageofanalgesicingroup1werelowerthanthatofgroup2.Conclusion:TheeffectofChaiqinchengqiDecoctionissignificantintreatingacuteseverepancreatitis(ASP).ThetherapycombinedwithChinesetraditio
7、nalmedicineandclinicalmedicineispreferredtoclinicalmedicine.[Keywords]ChaiqinchengqiDecoction;Acuteseverepancreatitis;ClinicalmedicinecombinedwithChinesetraditionalmedicine急性重症胰腺炎(acuteseverepancreatitis,ASP)是临床常见的危急重症之一,目前认为其致病机制是胰酶对胰脏本身自身消化所引起的化学反应,急性重症胰腺炎不仅会造成胰腺的损伤,还会出现严重的并发症
8、和全身症状,甚至危及生命[1]。由于患者病情重,治疗时间长,费用昂贵,探讨正确而有效的护理方式