大承气汤和硫酸镁导泻治疗急性胰腺炎对比分析 刘启江李荣祥(四川省双流县中医院外科病区 610200) 【中图分类号】R576【文献标识码】A【文章编号】1672-5085(2012)17-0042-02 【摘要】目的探讨42例急性胰腺炎导泻的临床特点与治疗方法。方法应用大承气汤和33%硫酸镁导泻治疗急性胰腺炎的随机两组临床资料对比分析。结果应用中药大承气汤灌肠和用33%硫酸镁灌肠的疗效相比,后者疗效更好。结论急性胰腺炎用中药大承气汤导泻的主要机理是和芒硝的渗透性有关。导泻的主要作用是减少肠道细菌移位感染的机会。 【关键词】急性胰腺炎导泻疗效 【Abstract】Objectives :To investigate the characteristics and treatment of 42 cases of purgation curing acute pancreatitis(AP)Methods:parative analysis of two sets of Randomly selected clinical data In the treatment of acute pancreatitis(AP)through purgation. One group uses Chinese medicine Da Cheng Qi Tang and another group uses magnesium sulfate (33%) .Results:prasion of curative effects of Chinese medicine Da Cheng Qi Tang and magnesium sulfate (33%) on purgation curing acute latter has better therapeutic effects Conclusion:The theory of purgation curing acute pancreatitis(AP)through Chinese medicine Da Cheng Qi Tang is related with the permeability of Glauber's salt. The main effect of purgation is to reduce the opportunity of bacterial translocation. 【Keywords】 acute pancreatitis(AP) purgation therapeutic effects 急性胰腺炎是多种病因导致胰酶在胰腺内被激活后引起胰腺组织自身消化、水肿、出血甚至坏死的炎症反应。临床以急性上腹痛、恶心、呕吐、发热和血胰酶增高等为特点。病变程度轻重不等,轻者以胰腺水肿为主,临床多见,又称为轻症急性胰腺炎。少数重者的胰腺出血坏死,常继发感染、腹膜炎、休克、胰腺假性囊肿等多种并发症,病死率高,称为重症急性胰腺炎。笔者收集我院 2007年12月~2011年12月间收治的42例急性胰腺炎,现报告如下: 1 资料与方法