Major Bupleurum Tonga Subtraction Side High Rectal Drip Into The Clinical Observation Of Treatment Of Acute Pancreatitis

Acute Pancreatitis (AP) is one of the most common acute abdominal diseases in clinical. The incidence of AP has been rising as the improvement of living standards. At present, the western medicine treatment principles against the disease is fasting, gastrointestinal decompression, parenteral nutrition support, inhibit pancreatic secretion, etc, the purpose is to rest the pancreas, but there is no specific treatment. Chinese medicine curative effect has been proved successful in the long-term clinical practice, especially on the basis of western medicine treatment cooperates with Chinese medicine treatment, the combined therapy of Chinese and western, not only can make the patient’s clinical symptoms, signs get rapidly improvement, also can significantly shorten the hospitalization time, more and more brought to the attention of the medical profession.Objective:To observe the curative effect of Dachaihutang on acute pancreatitis; Contrast between Chinese and western combined therapy with pure western medicine therapy of the difference in the curative effect; Compare the methods of high drip into the rectum therapy with traditional oral therapy of the curative effect of difference, to provide more effective clinical treatment of AP treatment and drug delivery.Materials and methods:This study collected76cases of AP, that all hospitalized in Dongzhimen hospital affiliated to Beijing university of Chinese medicine,during2000to2012, including25cases of western medicine treatment group (control group), with conventional western medicine therapy alone;26cases of enema in treatment group (group) with combination of Chinese and western therapy:on the basis of conventional western medicine treatment cooperates Dachaihutang decoction high drip into the rectum; Another25cases of oral drug group (oral) also uses the combination of Chinese and western therapy:on the basis of conventional western medicine treatment cooperates Dachaihutang decoction orally.Results:Both Chinese and western combination treatment groups are better than pure western medicine treatment group in improving symptoms and signs and the physical and chemical inspection indexes, after statistics test, p＜0.05, there are significant difference in statistically significant; And enema group are better than oral group in improving the patient’s signs and symptoms and the biochemical indexes, after statistics test, p＜0.05, there are significant difference in statistically significant; Average length of hospital stay of three groups of patients, the enema group<oral group<control group, P＜0.05, there are significant difference in statistically significant; Cure rate+significant rate of three groups of patients, enema group＞oral group＞the control group, P＜0.05, there are significant difference in statistically significant;Conclusion:Combined therapy of Chinese and western is better and faster in improving patients’ symptoms, signs and the physical and chemical inspection indexes, and can also significantly shorten the length of hospital stay than the pure western medicine treatment; Dachaihutang decoction high drops into the rectum therapy effect faster than oral therapy, the Cure rate+significant rate is also higher,which can also avoid nausea and vomiting that caused by giving oral drugs in the stage of inflammatory intestinal paralysis, patients with better tolerance, so the Dachaihutang decoction high drops into the rectum therapy can be used as a better delivery way to popularization and application.