Clinical Study On Colon Hydrotherapy Auxiliary Treatment Of Acute Pancreatitis In Early Stage

Objective To observe the efficacy and safety of colon hydrotherapy auxiliarytreatment of acute pancreatitis in the early.Methods According to the strict inclusion and exclusion criteria, a total of70patients with acute pancreatitis patients in our hospital, were randomly divided intoconventional treatment group(control group) and Spa group. Control group treated withfasting, gastrointestinal decompression, antispasmodic and analgesic, correct water andelectrolyte balance, anti acid, anti inflammation, inhibition of pancreatic secretion, spagroup in addition to the routine treatment, and intestinal hydrotherapy at2,4,6days ofapplication of intestinal hydrotherapy machine,1times a day. All subjects at1,7days todetect serum amylase(S-Amy), urine amylase(U-Amy), white blood cell(WBC), Creactive protein(CRP), evaluation of abdominal distension, abdominal pain, bowelsounds integral, APACHE II score, CTSI scores and compared the significant differencebetween two groups; Compare two groups of abdominal distension, abdominal pain,abdominal tenderness relief time, open diet time, average hospitalization time, theincidence of infection and hydrothorax and ascites, treatment costs have no significantdifference; Observe the spa group of patients in the adverse reactions in the process ofcolon hydrotherapy.Results The study included70subjects, including35cases in the control group,treatment group35cases. Spa group after treatment, serum amylase, C-reactive protein,abdominal distension, bowel sound integral down trend significantly faster comparedwith control group, abdominal distension relieving time, open eating time shortened significantly compared with the control group, the incidence of infection and hydrothoraxand ascites lower than control, the difference was statistically significant(P<0.05). Aftertreatment the spa group WBC count, average hospitalization time and cost of treatment,APACHE II score, CTSI scores compared with the control group there was nostatistically significant difference(P>0.05). Spa group after treatment in patients withmild pancreatitis in the abdominal pain score,abdominal pain, abdominal tendernessalleviate time shorter than the control group, the difference was statisticallysignificant(P<0.05), in patients with severe acute pancreatitis patients abdominal painscore, abdominal pain, abdominal tenderness remission time had no significant differencewith the control group. Spa group in patients with colon hydrotherapy process only a feware transient abdominal pain discomfort, no serious adverse reaction was found.Conclusions1. For MAP patients with early colon hydrotherapy can rapidlyimprove abdominal distension, abdominal pain, abdominal pain symptoms, promotebowel sounds recovery, reduce S-Amy, U-Amy, CRP level, indicate that colonhydrotherapy can be used as adjunctive therapy in patients with MAP.2.For SAP patientswith early colon hydrotherapy can rapidly improve abdominal distension symptoms,promote the recovery of bowel sound, reduces S-Amy, CRP levels, suggesting thatcolon hydrotherapy can be used as SAP is particularly associated with intestinaldysfunction and adjunctive therapy. But for abdominal pain, abdominal pain relief timewere similar to the control group.3. Colon hydrotherapy group found no serious adversereaction during the treatment, suggesting a better security.4. Colon hydrotherapy canreduce the incidence of AP in infection and hydrothorax and ascites.