Discussion On The Calcined Oyster Dominated By Qingyi Decoction In The Treatment Of Acute Pancreatitis

Purpose: This topic through the study of calcined oyster ingredients,tentatively discussits mechanism of action;And observation is given priority to with calcined oyster from clearthe clinical efficacy of the treatmen of acute pancreatitis,pancreatic soup provide the basis forChinese medicine treatment of the disease in the future,lay the foundation.Method: Control group: given conventional western medicine treatment, includingfasting, water, gastrointestinal decompression; Spasmolysis acetanilide to atropine,654-2andpethidine; Inhibition of pancreatic secretion to Mr Octreotide acetate5mg static point24hours continuously, blood amylase, after falling to8hours of subcutaneous injection,subcutaneous injection after2days instead of every12hours, and then after2days to1subcutaneous injection; Inhibition of gastric acid secretion also can to ranitidine, omeprazole,etc; Antibacterial anti-inflammatory can choose cephalosporins, quinolones; Correcting water,electrolyte disorder and nutritional support treatment. Treatment group: on the basis ofconventional western medicine treatment, be calcined oyster, mainly from the qing pancreatictonga subtraction: inhibition of pancreatic secretion, calcined oyster40~50g; Liver qi: radixbupleuri15g,10g dried tangerine peel; Unobstruction:40g of semen raphani; Through theinner parts in: rhubarb15g (after); Heat-clearing and detoxifying: double spend20g,dandelion, forsythia,20g30g; Invigorate the circulation of t2dm, acid-insoluble ash, Dan10g20g15g,30g salvia miltiorrhiza and radix paeoniae rubra. Decoction method: decoctionjuice100ml,2times in the morning and evening stomach tube injection,3~5days for acourse of treatment. Note: before the stomach tube into one, should check whether the tubeunobstructed, and gastric juice extracting thoroughly, closed tube to prevent siphon tube afterinjection, will affect the efficacy of drug absorption. Main observation indexes: two groups ofpatients with gender, age and other general information; White blood cell count, blood andurine amylase, blood glucose, blood calcium returned to normal time (from changchununiversity of Chinese medicine hospital clinical laboratory to help complete); Upper abdomenbilges, pain, nausea, vomiting, abdominal tenderness such as signs significantly less time; Theanus exhaust, bowel movement recovery time; The overall effect.Result: Traditional Chinese medicine treatment group total effectiveness94.1%, control group84.6%, western medicine treatment group is better than that of control group, but therewas no statistically significant difference (P>0.01), experimental group complications waslower than those of control group (*P <0.01); Experimental group blood and urine amylasewas shorten recovery time (*P <0.01); Treatment group than the control group in symptoms,signs, exhaust, the bowel movement recovery recovery time significantly shortened (*P <0.01); Experimental group and control group in blood glucose, blood calcium treatmentbefore and after comparison there was no significant difference (P>0.01); Experimentalgroup and control group in the white blood cell count before and after treatment was nosignificant statistical difference between groups (P>0.01), treatment group and control groupbefore and after treatment between groups within the more significant statistical difference (*P <0.01).Conclusion: Under the premise that western medicine foundation treatment, mainlystomach tube into calcined oyster ingredients from the experimental group than control groupin the observed indicators of clear soup of pancreatic time significantly shortened, thestatistical test, all have significant differences, AP group therapy and relieve clinical symptomis better than that of control group, has further research value and the clinical popularizationvalue.