• The Department of Integrated Traditional Chinese Medicine and Western Medicine，West China Hospital, Sichuan University;
重癥急性胰腺炎; 麻痹性腸梗阻; 柴芩承氣湯
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目的：觀察柴芩承氣湯治療重癥急性胰腺炎(SAP)并發麻痹性腸梗阻 (Paralytic Intestinal Obstruction)的療效。方法:依據納入和排除標準,選取四川大學華西醫院中西醫結合科收治的SAP患者40例,按1∶1比例隨機分成試驗組(20例)和對照組(20例),試驗組入院時即給予柴芩承氣湯灌腸治療,對照組使用安慰劑灌腸治療;兩組入院時基線資料差異無統計學意義(P gt;005)，且兩組均給予相同常規西醫治療。觀察入院后其首次自行排便排氣時間,入院時、入院后第3天、第7天APACHEⅡ評分及住院病程。結果:入院后首次自行排便排氣時間試驗組（302±154）天,低于對照組（453±241）天;入院后第3天APACHEⅡ評分試驗組（925±184）分，低于對照組（1163±222）分;入院后第7天APACHEⅡ評分試驗組（624±247）分，低于對照組（881±325）分。住院時間試驗組（2453±426）天,低于對照組（3032±589）天。結論:早期應用柴芩承氣湯灌腸治療SAP并發麻痹性腸梗阻,可縮短麻痹性腸梗阻的持續時間及減輕其危害,減少住院病程。

Citation： GUAN Wendong,CHEN Guangyuan,XUE Ping. Effect of Early Application of Traditional Chinese Medicine in Treating Severe Acute Pancreatitis with Paralytic Intestinal Obstruction by Retention Enema Catharsis. West China Medical Journal, 2010, 25(1): 24-26. doi: Copy

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