【摘要】 目的:验证中医药四联疗法分期辨证优化方案治疗急性胰腺炎临床疗效。方法:将急性胰腺炎分为急性发作期、急性恢复期、轻症胰腺炎、重症胰腺炎;急性发作期中医辨证分为肝胆湿热、胃肠实热、正虚邪陷三型;急性恢复期分为肝郁脾虚、气滞血瘀二型。运用中医药四联疗法:中药灌胃、灌肠、封包、静点,进行分期、分级、分型辨证施治。结果:腹痛消失时间(5.1±1.05)d,腹胀消失时间(4.01±1.35)d,肠鸣音恢复时间(1.97±0.21)d,平均住院时间(16.65±1.86)d,血淀粉酶正常时间(3.02±0.52)d,血脂肪酶正常时间(4.64±0.61)d,C反应蛋白(CRP)恢复正常时间(6.15±0.63)d,白细胞(WBC)恢复正常时间(4.24±0.36)d,治疗期间并发1例心功能不全。结论:优化方案提高了临床疗效、减少了并发症、缩短了住院时间、降低了药物费用。更多还原

【Abstract】 Objective: To observe the clinical efficiency of the combined traditional Chinese medicine(TCM) therapy method in treatment of acute pancreatitis based on the differentiation of syndrome.Method: The acute pancreatitis were divided into acute exacerbation,acute convalescence,mild acute pancreatitis and severe acute pancreatitis.The differentiation of syndrome of TCM was divided into the acute exacerbation into wetnessheat of liver and gallbladder syndrome type,stomach-intestine excessive heat type and vital Qi desertion due to interior invaded by pathogen type.The acute convalescence was divided into liver depression and spleen deficiency type and Qi depression to blood stasis type.The TCM quadric-combination therapy was used in the ways of gavages,enema,packet,intravenous drip.This therapy was divided into different levels,different stages and different types according to differentiation of syndrome.Result: The time of disappearance of abdominal pain(5.1 ±1.05) d,the time of disappearance of abdominal distension(4.01 ±1.35) d,the gurgling sound resume time(1.97 ± 0.21) d,the average hospitalization time(16.65 ± 1.86) d,the recovery time of normal blood amylase(3.02 ± 0.52) d,the recovery time of normal lipase:(4.64 ± 0.61) d,the recovery time of normal Creaction protein(CRP)(6.15 ± 0.63) d,the recovery time of normal white blood cell(WBC)(4.24 ± 0.36) d.There is one complication of cardiac insufficiency happened during the therapy.Conclusion: The optimum proposal can improve clinical effects,decrease complications,shorten the hospitalization and reduce the expenses of medicines.更多还原