The effect of Chinese angelica and peony powder combined with traditional Chinese medicine on the treatment of acute pancreatitis
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摘要: [目的]探讨当归芍药汤加减联合中药外敷用于急性轻、中度胰腺炎的疗效。[方法]将2017年1月~2019年4月于我院普外一科行住院治疗的75例急性轻、中度胰腺炎患者作为本次研究对象,随机分3组,分别为对照组(A组25例:西医常规治疗)、结合组(B组25例:西医常规治疗联合当归芍药汤加减)、外敷组(C组25例:西医常规治疗联合当归芍药汤加减配合中药外敷)。对比3组患者治疗前后效果、中医证候评分、临床症状、体征、血淀粉酶恢复、首次进食时间及住院时间。[结果]外敷组、结合组患者总有效率显著高于对照组(P＜0.05),且患者腹部症状消失时间、体征消失时间、血淀粉酶正常时间、首次进食时间及总住院时间明显缩短,差异有统计学意义(P＜0.05);与结合组比较,外敷组患者腹部症状消失时间进一步缩短,差异有统计学意义(P＜0.05)。[结论]当归芍药汤加减联合中药外敷应用于急性轻、中度胰腺炎较单纯西医常规治疗效果显著,且中药外敷能明显改善患者腹部症状。Abstract: [Objective]To investigate the effect of Angelica and Peony decoction combined with external application of traditional Chinese medicine in acute mild and moderate pancreatitis.[Methods]From January 2017 to April 2019,75 patients with acute mild to moderate pancreatitis were randomly divided into three groups:control group(25 cases in group A:routine treatment of western medicine)and combined group(25 cases in group B:routine treatment of western medicine combined with Angelica and Peony decoction),external application group(group C,25 cases:routine treatment of western medicine combined with Angelica and Peony decoction plus external application of traditional Chinese medicine).The effect,TCM syndrome score,clinical symptoms,signs,serum amylase recovery,first eating time and hospitalization time were recorded and compared among the three groups before and after treatment.[Results]The total effective rate of the combined group was significantly higher than that of the control group(P＜0.05).The disappearance time of abdominal symptoms,signs,normal time of serum amylase,first eating time and total hospitalization time were significantly shortened(P＜0.05).Compared with the combined group,the disappearance time of abdominal symptoms in the external application group was further shortened in the external application,the difference was statistically significant(P＜0.05).It was confirmed that the addition and subtraction of Angelica and Peony decoction and the external application of traditional Chinese medicine in acute mild and moderate pancreatitis were more effective than those in western medicine alone,and the external application group could significantly improve the abdominal symptoms of the patients.
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