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目的观察柴芩承气汤加减联合芒硝外敷治疗重症急性胰腺炎的临床疗效。方法选择西安市西电集团医院2013年1月-2015年11月非手术治疗的32例重症急性胰腺炎患者,随机分为观察组与对照组:对照组16例,常规西医治疗;观察组16例,在对照组基础上同时给予加减柴芩承气汤100 ml,每12 h胃管内注入,并联合芒硝外敷;观察两组患者腹痛、腹胀缓解时间、平均住院日、并发症及死亡率等相关指标。结果腹痛、腹胀缓解时间、平均住院日等相关指标观察组与对照组比较差异均有统计学意义(P<0.05)。两组患者病死率差异无统计学意义(P>0.05)。结论柴芩承气汤加减联合芒硝外敷治疗重症急性胰腺炎具有较明显的协同作用,其疗效优于单纯西医常规治疗。
Objective To observe the clinical effect of Chaiqin Chengqi Decoction combined with Glauber’s topical application in the treatment of severe acute pancreatitis. Methods Thirty-two patients with severe acute pancreatitis who were treated non-surgically from January 2013 to November 2015 in Xi’an Electric Power Group Hospital were randomly divided into observation group and control group: control group (16 cases), conventional western medicine treatment group (16 cases), observation group On the basis of the control group, 100 ml of chaiqin qi qi decoction was additionally given on the basis of the control group, which was injected into the gastric tube every 12 hours and combined with mirabilite external application. The abdominal pain, the time of abdominal distension, the average length of stay, complications and death Rate and other related indicators. Results abdominal pain, abdominal distension time, the average length of stay and other related indicators observation group and the control group differences were statistically significant (P <0.05). There was no significant difference in the case fatality rate between the two groups (P> 0.05). Conclusion Chaiqin Chengqi Decoction combined with Glauber’s topical application in the treatment of severe acute pancreatitis has obvious synergetic effect, and its curative effect is better than that of conventional western medicine.