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三黄通泻合剂治疗脂源性胰腺炎30例临床观察
刘卿辉,游运舸,喻长红
0
(湖南中医药大学附属常德医院,湖南 常德,415000;常德市第一中医医院,湖南 常德,415000)
摘要:
目的:观察三黄通泻合剂灌肠治疗脂源性胰腺炎(HLP)的临床疗效。方法:将60例HLP患者随机分为治疗组和对照组,每组各30例。对照组予以西医常规治疗,治疗组在对照组的基础上加用三黄通泻合剂灌肠治疗。比较2组腹痛缓解时间、首次排便时间,治疗前后的C反应蛋白(CRP)、三酰甘油(TG)水平及平均住院时间。结果:治疗组腹痛缓解时间、首次排便时间、平均住院时间均较对照组短(P<0.05),且2组CRP、TG水平治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0.05)。结论:三黄通泻合剂可以快速缓解患者腹痛及便秘等症状,显著抑制炎症反应,快速降低TG水平,缩短住院时间,总体疗效显著,值得临床推广。
关键词:  脂源性胰腺炎  三黄通泻合剂  灌肠
DOI:
Clinical effect of Sanhuang Tongxie mixture in treatment of hyperlipidemic pancreatitis:An analysis of 30 cases
LIU Qinghui,YOU Yunge,YU Changhong
(Changde Hospital,Hunan University of Chinese Medicine,Changde 415000,Hunan,China;Changde First Hospital of Traditional Chinese Medicine,Changde 415000,Hunan,China)
Abstract:
Objective:To investigate the clinical effect of enema with Sanhuang Tongxie mixture in the treatment of hyperlipidemic pancreatitis (HLP).Methods:A total of 60 patients with HLP were randomly divided into treatment group and control group,with 30 patients in each group.The patients in the control group received conventional Western medicine treatment,and those in the treatment group received enema with Sanhuang Tongxie mixture in addition to the treatment in the control group.The two groups were compared in terms of time to abdominal pain remission,time to first defecation,the levels of C-reactive protein (CRP) and triglyceride (TG) before and after treatment,and mean hospital stay.Results:Compared with the control group,the treatment group had significantly shorter time to abdominal pain remission,time to first defecation,and mean hospital stay (P<0.05).Both groups had significant changes in the levels of CRP and TG after treatment,and there were significant differences in the levels of CRP and TG between the two groups after treatment (P<0.05).Conclusion:Sanhuang Tongxie mixture has a marked overall response and can rapidly relieve the symptoms of abdominal pain and constipation,significantly inhibit inflammatory response,reduce the level of TG,and shorten the length of hospital stay,and therefore,it holds promise for clinical application.
Key words:  hyperlipidemic pancreatitis  Sanhuang Tongxie mixture  enema

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