| Objective: This study by Chinese medicine Qingyi choleretic soup evaluation ofclinical efficacy for the treatment of acute gallstone pancreatitis (Acute Biliary Pancreatitis,ABP), from both theoretical and clinical research to investigate the mechanism of actionfor the treatment of ABP the Qingyi Choleretic soup TCMprovide a theoretical basis forthe treatment of this disease.Methods: Select the object of observation,60patients were randomly divided intoexperimental group (30cases) and control group (30cases), the test group on the basis ofconventional therapy in Western medicine with traditional Chinese medicine Qingyicholeretic soup oral (or injected through the tube); controlsWestern medicine group weregiven conventional treatment, the total course of14days. Comprehensive clinical efficacyof the two groups were compared before treatment and the treatment of the first14days ofTCM symptoms total score; compare the treatment of the two groups after CT, abdominalB ultrasound (observed pancreas thickness, morphology, real echo, pancreatic duct innerdiameter and around panning; gallbladder size, shape and the size of the stones in thegallbladder, the number and gallbladder wall thickness, bile viscous accumulationobserved); were compared between the two groups before and after treatment of blood,urine amylase values change and the number of days required to restore normal; comparetwo the leukocyte number changes before and after treatment.Results: Clinical efficacy comparison: test group clinical markedly effective rate of90.0%better than the control group,80.0%(P<0.05).There was no significant symptomscores: the first14days of treatment in both groups(P <0.01orP<0.05)were significantlyimproved symptoms compared with the previous; improvement of the experimental groupand the control group for the main symptoms (abdominal pain, nausea and vomiting,abdominal tenderness) difference(P>0.05),but the experimental group for fever and disease (bloating, belching, who heads jaundice, urine short yellow) improvement than the controlgroup (P<0.05). This shows that the experimental group and the control group, the fasterand more significant improvement in symptoms.Imaging: abdominal B ultrasound: Aftertreatment, B-ultrasound were significantly improved compared with the previous(P<0.01),but no significant difference(P>0.05) between the two groups. CT scans: CT examinationcompared with the previous two groups after treatment were significantlyimproved(P<0.01),but no significant difference(P>0.05)between the two groups.Laboratory parameters: There were blood and urine amylase returned to normal verysignificant difference(P<0.01),prompted test group blood and urine amylase recovery timewas significantly shorter than the control group. Two groups in lowering blood, urineamylase test group improved significantly better than the control group(P<0.01). Whiteblood cell count in improving aspects,the experimental group was significantly better thanthe control group(P<0.01),the test group to better anti-inflammatory treatment.Conclusion: Western medicine routine medical treatment based on the use of Chinesemedicine the Qingyi Choleretic Decoction can improve markedly effective rate, the betterthe improvement of clinical symptoms, to improve the imaging of the pancreas andgallbladder morphology, faster and lower blood and urine amylase and leukocytelevelsChinese medicine Qingyi choleretic soup made significant efficacy in the treatmentof acute gallstone pancreatitis, TCM treatment of ABP provides effective methods andideas. |
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