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目的观察对急性胰腺炎辅以加味大承气汤通过胃肠管灌胃治疗与护理的疗效。方法应用随机对照研究方法,护理1组患者均留置胃十二指肠管,使用加味大承气汤灌胃,设为观察组;护理2组不使用灌胃辅助治疗,设为对照组。观察比较两组腹痛、腹胀缓解所需时间及两组治疗5d后血淀粉酶变化情况。结果观察组在腹痛缓解所需时间上比对照组缩短(P<0.05),观察组在腹胀缓解所需时间上比对照组缩短(P<0.01)。治疗前两组血淀粉酶水平无差异性,治疗5d后观察组的血淀粉酶下降水平下降明显,且优于对照(P<0.05)。结论治疗急性胰腺炎时辅以加味大承气汤经由胃十二指肠管灌胃能较快的缓解患者腹痛、腹胀症状,减轻患者痛苦,能更有效地促进血淀粉酶的下降,从而缩短疾病进程。中西医结合护理治疗本病具有较大的临床优势,值得临床推广应用。
Objective To observe the curative effect of treating and treating acute pancreatitis by adding Dachengqi Decoction through gavage. Methods A randomized controlled study was conducted. The patients in group 1 were treated with modified Dachengqi Decoction by intragastric administration of stomach duodenum, and were given as observation group. The two groups were given adjuvant therapy without gavage as control group. Observe and compare two groups of abdominal pain, abdominal distension and the time required for the treatment of two groups of 5d after treatment of blood amylase changes. Results The observation group was shorter than the control group in the time needed for the relief of abdominal pain (P <0.05), and the observation group was shorter than the control group (P <0.01). The serum amylase level of the two groups before treatment was no difference. After 5 days of treatment, the decrease of serum amylase level in the observation group decreased significantly (P <0.05). Conclusions The treatment of acute pancreatitis supplemented with Modified Dachengqi Decoction through the stomach duodenum can quickly relieve abdominal pain and abdominal distension in patients with symptoms and reduce the pain of patients can more effectively promote the decline of blood amylase and thus shorten the disease process. Integrated Chinese and Western medicine treatment of the disease has a greater clinical advantage, it is worth clinical application.