Flavored Of Dachengqitang Tube Implantation And High Retention Enema Comparative Clinical Study Of Acute Pancreatitis

ObjectiveUnified therapy of traditional Chinese and western medicines acts vital role upon Acute pancreatitis(AP) , may promote the stomach and intestina ' s function to restore , reduces bacterium shifting and illness complication to occure, but two ways that Chinese native purgative enter body by stomach tube to pour into compared with by retention enema , which is superior ? The literature doesn ' t have the record , therefore this research is for the purpose of observation and comparison . in order to instruct clinical treatment well, further enhances the curative effect. MethodSelect 148 examples of the AP inpatients in the Hubei hospital of TCM , stochastically divided into two groups . one group is that purgative pour into by stomach tube , the other group by high retention enema , two groups have the commeasurabillty after statistics processing . use the unified therapy of traditional Chinese and western medicine , including (1) guardianship : observe body temperature , the breath , the pulse , the blood pressure and urine volume , carry on the abdomen inspection , understand whether abdominal muscles is tight , tenderness degree and scope , disgusting vomits and the anus exhaust, defe cation, count WBC, the blood and the urinary amylase, the electrolyte change, CT about pancreatic gland, the supersonic inspection and soon. (2) positively supplements the body fluid and the electrolyte and the maintenance balance , the early nutrition support . (3) reduces pancreatic gland exocrine , used ① fasted and stomach and intestine reduced pressure , reduced the gastric acid and food stimulates the pancreatic juice secretion , and reduced vomit with the distension of the abdomen . ② injected PPI by vein to suppress gastric acid secretion , but also might prevent stress ulcer occurrence . (4) preventing and controlling infection, in addition, used the Chinese native purgative ( compound prescription decoction DA CHENG QI ) : Chinese rhubarb 20g ( post - decocting ) , mirabilite 15g ( flushes in addition ) , officinal magnolia, Fructus aurantii immaturus , the peach kernel , the giant knotweed , the herbaceous peony , the dandelion , fumitory each 15g , fresh licorices 6g , the water dococtum 200ml treatment , by stomach tube pours into group every day two , each time 100ml , retains for two hours , by high retention enema group every day one , each time 200ml , when enema , the buttocks raise 10cm , the liquid level are apart from anus 50—60cm , 7days are a treatment course . during the period , observes and records the time of several targets such as abdomen tenderness , the blood and the urinary amylase and defecation to rastore the normal . Result1 .Comparison of curative effectHigh retention enema group significantly effective rate obviously is higher than the stomach tabe to pour into group ( p< 0.05 )2 . Time about each target of two groups restores the normal . About above several targets , high retention enema group tookless time to restore normal than gastric tube to pour into group , statistics processing has remarkable and the extremely significant difference . ConclusionThe cooperation of Chinese and western medicine treatment acts as positive role upon AP . may promote the stomach and intestina ' s function to restore, shorten the treatment course to enhance the curative effect . high retention enema group further shorten the course of disease, further enhanced the curative effect. This method could lead clinical treatment well and application well upon AP .