Systematic Evaluation Of Treatment Of Severe Acute Pancreatitis By Opening And Removing Water

Objective: to analyze the therapeutic effect of Tongxia water banding method in the treatment of severe acute pancreatitis through the systematic evaluation of randomized controlled clinical trial,and to hope that it has guiding significance for clinical treatment.Methods: the Chinese Biomedical Literature Database(CBM),the Chinese knowledge Network Medical Database(CNKI),the Weip Full-text Database(Vip),the Wanfang Database and Pub Med,and so on were searched.Published in as academic reports,Literature on clinical studies on the treatment of severe acute pancreatitis with the method of "Tongxia" and "water banding",etc.,in Chinese for "Gansui","draining heat and removing water","big depression chest soup","severe acute pancreatitis","acute pancreatitis",respectively.Hemorrhagic necrotizing pancreatitis "search for keywords or subject words In English,"Gansui","Euphorbia","Yuanhua","ShangLu","QianNiuzi","Big depression chest pill","Shizao decoction","Shizao Powder","controlling salivate Dan","Big chested soup","severe Acute pancreatitis","Acute hemorrhagic necrotizing pancreatitis"?�SAP�are the main words or keywords to search for foreign literature,and the qualified documents are selected.The quality evaluation and data processing were carried out by two personnel,and then the statistical analysis was carried out by meta analysis software RevMan5.3.Results: after strict screening,7 articles were included in the literature.In the trial group,the time of remission of abdominal pain(MD:-2.91;95%CI[-3.82,-1.99];Pmerge<0.00001),the time of normal urinetion amylase(MD:-2.46;95%CI[-3.40,-1.53];Pmerge<0.00001),mean hospitaliza days(MD :-5.21;95 % CI[-6.50,-3.92];Pmerge <0.00001)),the time of recovery of bowel sounds(MD :-2.33;95 %CI[-3.58,-1.0]8,Pmergge<0.0003),First defecation time(MD:-30.05;95%CI[-39.87,-20.24];Pmerge<0.00001),Blood amylase restores normal time(MD:-3.04;95%CI[-5.37,-0.82];Pmerge<0.007)was statistically significant in comparison with the control group.Conclusion: the treatment of severe acute pancreatitis with Tongxia water removing method can significantly improve the clinical symptoms and signs,make the blood and urine amylase return to normal as soon as possible,at the same time reduce the days of hospitalization and reduce the economic burden of the patients.It is effective to treat severe acute pancreatitis with the method of removing water.