[1]李军,陈连锁,李树峰,等.中药熏蒸联合清胰汤加减治疗轻症急性胰腺炎的随机对照研究[J].西部中医药,2024,37(06):134-137.[doi:10.12174/j.issn.2096-9600.2024.06.31]
　LI Jun,CHEN Liansuo,LI Shufeng,et al.Randomized Controlled Trials on the Treatment of Mild Acute Pancreatitis with Chinese Medicine Fumigation and Modified Qingyi Tang[J].Western Journal of Traditional Chinese Medicine,2024,37(06):134-137.[doi:10.12174/j.issn.2096-9600.2024.06.31]
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中药熏蒸联合清胰汤加减治疗轻症急性胰腺炎的随机对照研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年06期
页码:
134-137
栏目:
特色医疗
出版日期:
2024-06-15

文章信息/Info

Title:
Randomized Controlled Trials on the Treatment of Mild Acute Pancreatitis with Chinese Medicine Fumigation and Modified Qingyi Tang
作者:
李军, 陈连锁, 李树峰, 任意, 庞英
黄骅市人民医院，河北 黄骅 061100
Author(s):
LI Jun, CHEN Liansuo, LI Shufeng, REN Yi, PANG Ying
Huanghua Municipal People's Hospital, Huanghua 061100, China
关键词:
胰腺炎; 急性; 轻症; 清胰汤; 奥曲肽; 中药熏蒸; 中医证候积分; 随机对照试验
Keywords:
pancreatitis;  acute;  mild; octreotide; Traditional Chinese medicine fumigation; Traditional Chinese medicine syndrome integrals; randomized controlled trials
分类号:
R657.5+1
DOI:
10.12174/j.issn.2096-9600.2024.06.31
文献标志码:
B
摘要:
目的观察中药熏蒸联合清胰汤加减内服治疗轻症急性胰腺炎的临床疗效。 方法选择100例轻症急性胰腺炎患者为研究对象，按随机数字表法分为观察组和对照组各50例。对照组给予奥曲肽治疗，观察组在对照组治疗基础上给予中药熏蒸及清胰汤内服治疗，两组均连续治疗14天。观察两组治疗前后中医证候积分、血清炎症因子、血清淀粉酶、全身炎症反应综合征评分、急性胰腺炎严重程度指标评分的变化情况，以及临床症状消失时间、临床疗效及安全性。 结果
Abstract:
ObjectiveTo observe the clinical efficacy of traditional Chinese medicine fumigation combined with internal administration of modified Qingyi Tang (Pancreas-clearing decoction) in the treatment of mild acute pancreatitis. MethodsAll 100 patients with mild acute pancreatitis were selected as study subjects and divided into 50 cases each in the observation group and control group according to the randomized numerical table method. The control group was treated with octreotide, and the observation group accepted traditional Chinese medicine fumigation and internal administration of Qingyi Tang on the basis of the control group, and both groups were treated continuously for 14 days. To observe TCM syndrome integrals, serum inflammatory factor, serum amylase, systemic inflammatory response syndrome score, acute pancreatitis severity index score before and after the treatment of the two groups, as well as the disappearance time of clinical symptoms, clinical efficacy and safety. ResultsAfter treatment, the TCM syndrome scores of both groups were lower than these before treatment (P<0.05), and the observation group was lower than the control group (P<0.05). After treatment, the levels of serum inflammatory factor, serum amylase, systemic inflammatory response syndrome scores, and acute pancreatitis severity index score of both groups were lower than theses before treatment (P<0.05), and the observation group was lower than the control group (P<0.05). The time for the disappearance of clinical symptoms in the observation group was significantly shorter than that in the control group (P<0.05); the total effective rate of the observation group was [98.00% (49/50)], higher than that [84.00% (42/50)] of the control group (P<0.05); and no adverse reactions occurred in the course of the treatment in both groups. ConclusionThe application of traditional Chinese medicine fumigation combined with internal administration of Qingyi Tang in the treatment of mild acute pancrea-titis can noticeably reduce the clinical symptoms of patients, shorten the course of the disease, lower the levels of the patients' laboratory indicators such as serum inflammatory factor, AMS, etc., and improve the clinical efficacy.

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备注/Memo

备注/Memo:
李军（1975—），男，主治医师。研究方向：肝胆胰腺疾病的诊治。E-mail：65446243@qq.com。河北省中医药管理局科研计划（2017286）。
更新日期/Last Update: 2024-06-15