摘要
目的评价黄芪足三里穴位注射治疗急性胰腺炎并发肠麻痹的疗效。方法 204例符合纳入标准的急性胰腺炎患者按随机数字表分为A、B和C组。A组患者给予禁食、胃肠减压、抑制胰酶活性药物、抗感染、营养支持、中药汤剂管喂及灌肠等基础治疗。B组在基础治疗上加用生理盐水穴位注射;C组在基础治疗上加用黄芪注射液穴位注射。比较3组患者肠道功能恢复、治疗总有效率、住院时间、中转手术率和死亡率等情况。结果 C组肛门排气时间和排便时间以及肠鸣音恢复时间与A、B两组比较均缩短,组间差异有统计学意义(P<0.05)。C组总有效率高于A、B组,组间差异有统计学意义(P<0.05)。C组住院时间较A、B组短,组间差异有统计学意义(P<0.05)。C组的中转手术率、多器官衰竭发生率和死亡率均低于A、B组,但组间差异无统计学意义(P>0.05)。结论黄芪足三里穴位注射治疗胰腺炎能缩短患者的肛门排气时间、肛门排便时间及肠鸣音恢复时间,促进肠道功能的恢复,改善肠麻痹;能提高胰腺炎治疗的总体有效率,缩短患者住院时间。
Objective To investigate the effect of membranaceus Zusanli acupoint injection in the treatment of actue panereatitis complicated with intestinal paralysis. Methods Two hundred and four patients of acute pancreatitis complicated with gastrointestinal paralysis were randomly divided into 3 groups. All groups were given routine western medicine and traditional Chinese medicine therapy. On the basis of the treatment above,group B was given physiological saline and group C was given membranaceus by Zusanli acupoint injection. The improvements of the abdominal gastrointestinal symptoms and signs in each group were observed and the curative effects were evaluated. Results The time for passage of gas and defecation in group C was significantly shorter than those of group A and group B （P〈0.05）. The total effective rate in group C is significant higher than group A and group B （P〈0.05） and the length of stay in group C is significant shorter than group A and group B （P〈0.05）. Conclusion There is more effectively alleviation of paralysis of the intestinal tract treated by membranaceus Zusanli acupoint injection in the treatment of acute pancreatitis, thus to promote the recovery of intestinal function, improve the curative effects and shorten the length of stay.
出处
《成都医学院学报》
CAS
2015年第2期158-161,共4页
Journal of Chengdu Medical College
关键词
急性胰腺炎
肠麻痹
穴位注射
黄芪
足三里
Acute pancreatitis
Intestinal paralysis〈 Acupoint injection
Membranaceus
Zusanli point
