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1、®世界华人消化杂志2009年5月18日;17(14):1481-1483wcjd@wjgnet.comISSN1009-3079CN14-1260/R临床经验CLINICALPRACTICE大黄和丹参在重症急性胰腺炎治疗中的作用汤可立,石承先汤可立,石承先,贵州省人民医院肝胆外科贵州省贵阳市ferenceinrecoveryofintestinalgurglingsound,■背景资料550002重症急性胰腺炎andinthenumberofinfectivepositions,pancre-通讯作者:石承先,主任医师,550002,
2、贵州省贵阳市宝山南路1(SAP)死亡率高.号,贵州省人民医院肝胆外科.chengxianL@yahoo.com.cnaticpseudocystsandhospitaldays.Compared现有资料表明丹电话:0851-5937865withgroupB,groupChadbetterrecoveryof参能改善微循环,收稿日期:2009-02-04修回日期:2009-04-17接受日期:2009-04-27在线出版日期:2009-05-18intestinalgurglingsoundwithsignificantdiffer-
3、减少重要脏器的损伤;大黄能促ence(t=2.73,P<0.05).进胃肠蠕动,减轻腹胀,减少细菌移TherapeuticeffectsofRhubarbCONCLUSION:Onthebasisofroutinetreat-位,从而减少感andSalviamiltiorrhizaonment,combinedmanagementofRhubarband染.本研究把二者SalviamiltiorrhizafortreatingSAPpossessesa联合应用,取得较severeacutepancreatitis好的治疗效果.sign
4、ificantsynergisticactionandtherapeuticef-fect.Ke-LiTang,Cheng-XianShiKeyWords:Severeacutepancreatitis;Complica-Ke-LiTang,Cheng-XianShi,DepartmentofHepatobili-tion;Rhubarb;SalviamiltiorrhizaarySurgery,GuizhouProvincialPeople'sHospital,Guiyang550002,GuizhouProvince,ChinaT
5、angKL,ShiCX.TherapeuticeffectsofRhubarbandCorrespondenceto:Cheng-XianShi,DepartmentofHep-atobiliarySurgery,GuizhouProvincialPeople'sHospital,Salviamiltiorrhizaonsevereacutepancreatitis.ShijieGuiyang550002,GuizhouProvince,HuarenXiaohuaZazhi2009;17(14):1481-1483China.chen
6、gxianL@yahoo.com.cnReceived:2009-02-04Revised:2009-04-17Accepted:2009-04-27Publishedonline:2009-05-18摘要目的:探讨大黄和丹参联合应用对重症急性Abstract胰腺炎(SAP)的治疗价值.AIM:ToinvestigatethetherapeuticeffectsofRhubarbandSalviamiltiorrhizaonsevereacute方法:分析我院收治的SAP患者98例,根据用pancreatitis(SAP).药分为对照
7、组(A组,21例)、丹参治疗组(B组,25例)和大黄加丹参治疗组(C组,52例).A组采METHODS:Ninety-eightpatientswithSAP用常规治疗,B组和C组在对照组治疗的基础weredividedintothreegroups:controlgroup上分别加用丹参和大黄加丹参治疗.分析3组(groupA,n=21),Salviamiltiorrhizatreatment间肠鸣音恢复、器官损害数、感染部位数、group(groupB,n=25)andRhubarb&Salvia假性胰腺囊肿数和住院时间及死亡率.
8、miltiorrhizatreatmentgroup(groupC,n=52).Allthepatientsinthe3groupsreceivedthe结果:与A组比较,C组肠鸣音恢复明显快sameroutinethe
