生大黄灌肠对急性胰腺炎患者血清淀粉酶及炎症因子的影
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Effect of Enema of Raw Radix et Rhizoma Rhei on Amylase and Inflammatory Factors in Serum in Patients with Acute Pancreatitis
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    摘要:

    目的:观察生大黄灌肠对急性胰腺炎患者血清淀粉酶及炎症因子的影响。方法:选择急性胰腺炎患者80例,按照入院日期单日、双日分为2组各40例。对照组在常规护理基础上给予系统的营养护理;观察组在对照组治疗及护理方案的基础上加用中医情志护理,比较护理2组护理效果。结果:治疗后,2组腹内压均降低,观察组降低幅度大于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组血清淀粉酶及各类炎症因子肿瘤坏死因子-α (TNF-α),白细胞介素-6 (IL-6),C-反应蛋白(CRP) 均降低,观察组降低幅度大于对照组,差异均有统计学意义(P<0.05),观察组腹痛腹胀持续时间、出现排便时间、腹部压痛持续时间、住院时间均低于对照组,差异均有统计学意义(P<0.05)。结论:利用生大黄灌肠治疗急性胰腺炎患者,可改善患者的腹内压、血清淀粉酶、炎症因子,提升治疗效果。

    Abstract:

    Abstract: Objective: To observe the effect of the enema of raw Radix et Rhizoma Rhei on amylase and inflammatory factors in serum in patients with acute pancreatitis. Methods: A total of 80 cases of patients with acute pancreatitis were selected and divided into two groups according to the odd and even dates,40 cases in each group. The control group was given systematic nutrition nursing based on the routine nursing; the observation group was additionally given Chinese medicine emotional nursing based on the nursing of the control group. The nursing effect was compared between the two groups. Results:After treatment,the intra-abdominal pressure in the two groups was decreased,and the decrease in the observation group was larger than that in the control group, differences being significant(P<0.05). After treatment, the amylase and inflammatory factors including tumor necrosis factor- α(TNF- α), interleukin- 6(IL- 6) and C- reactive protein (CRP) in serum in the two groups were decreased, and the decrease in the observation group was larger than that in the control group,differences being significant(P<0.05). The duration of abdominal distention,the time of first defecation,the duration of abdominal tenderness and the hospitalization time in the observation group were all shorter than those in the control group, differences being significant(P<0.05). Conclusion: The therapy of enema of raw Radix et Rhizoma Rhei in treating patients with acute pancreatitis can improve their intra- abdominal pressure, amylase and inflammatory factors in serum,and enhance the curative effect.

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郑聪聪,陈双双,徐琼芳.生大黄灌肠对急性胰腺炎患者血清淀粉酶及炎症因子的影[J].新中医,2020,52(11):158-160

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  • 在线发布日期: 2020-06-04
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