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本科论文:大柴胡汤治疗急性胰腺炎肠麻痹的临床研究

  [摘要] 目的 观察大柴胡汤早期干预治疗急性胰腺炎肠麻痹的临床疗效。 方法 将患者分为对照组和治疗组,对照组14例、治疗组23例,对照组给予常规西医药治疗方案,治疗组在上述基础上加用大柴胡汤。 结果 治疗组患者临床疗效、症状消失时间、肠功能恢复时间等明显优于对照组。 结论 大柴胡汤早期干预治疗急性胰腺炎肠麻痹,临床效果显著,值得推广应用。 
  [关键词] 急性胰腺炎;肠麻痹;中医药疗法;大柴胡汤;临床对照研究 
  [中图分类号] R259 [文献标识码] A [文章编号] 2095-0616(2017)11-46-04 
  Clinical study of major bupleurum decoction in treatment of acute pancreatitis enteroparalysis 
  DING Yundong1 GUO Xiuwei2 YU Xiumei1 GU Youtian1 LIU Hongshu1 JIN Weiliang1 GU Yuetao1 
  1.GU Yuetao Studio,Liaocheng Hospital of Traditional Chinese Medicine,Liaocheng 252000,China;2.Health Law Enforcement and Supervision Institute of Liaocheng,Liaocheng 252000,China 
  [Abstract] Objective To observe the clinical curative effect of early intervention of major bupleurum decoction in treatment of acute pancreatitis enteroparalysis. Methods Patients were divided into the control group with 14 cases and the treatment group with 23 cases.The control group was given conventional treatment scheme of western medicine while the treatment group was additional used major bupleurum decoction at basis of the control group. Results Clinical curative effect,disappearing time of symptoms and recovery time of intestinal function of patients in the treatment group were significantly better than those in the control group. Conclusion Early intervention of major bupleurum decoction in treatment of acute pancreatitis enteroparalysis has a significant clinical effect,which is worthy of promotion and application. 
  [Key words] Acute pancreatitis;Enteroparalysis;TCM therapy;Major bupleurum decoction;Controlled clinical research 
  急性胰腺炎(acute pancreatitis,AP)是消化系統急症,并发症多,病死率高,常引起肠麻痹,目前随着其发病机制和病理演变过程研究的深入,中医药治疗AP亦得到相当重视并得以广泛应用,从而促成现在AP的治疗方案不断改进、完善和充实。中医药治疗AP方法比较多,有内服、有外用、有灌肠,选方则多以含有大黄的大承气汤加减为主,或单用生大黄,但皆有通里攻下之功,从而对急性胰腺炎造成的肠麻痹具有很好的治疗作用。根据急性胰腺炎的中医病机特点,我们应用大柴胡汤早期干预治疗急性胰腺炎肠麻痹,取得了良好的令人满意的临床疗效,现报道如下。 
  1 资料与方法 

 
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