补阳还五汤联合泰能治疗重症急性胰腺炎致腹腔重症感染的研究

发布时间：2018-03-29 04:13

本文选题：补阳还五汤　切入点：泰能　出处：《南京中医药大学学报》2015年06期

【摘要】：目的探究中医方剂补阳还五汤联合泰能在急性重症胰腺炎致腹腔重症感染治疗中的疗效和作用。方法收集我校附属医院2013年5月-2014年5月患重症胰腺炎并发腹腔重症感染的患者47例,随机分为观察组(23例)和对照组(24例),对照组单用泰能进行抗感染治疗,观察组在应用泰能的基础上加用中医方剂补阳还五汤,比较2组患者治疗2周后的感染疗效、病菌清除率、炎症及免疫指标差异情况和病死率情况。结果治疗2周后观察组总有效率及病菌清除率明显高于对照组,P0.05~0.01。观察组白细胞数、炎症介质水平较对照组明显降低(P0.05~0.01),免疫力较对照组明显增高,P0.05,病死率明显低于对照组,P0.01。结论补阳还五汤联合泰能治疗急性重症胰腺炎并发的腹腔感染能更好的提高患者免疫力,控制感染,促进患者康复,降低病死率。
[Abstract]:Objective to explore the curative effect and effect of Buyang Huanwu decoction combined with Taeneng in the treatment of severe abdominal infection caused by severe acute pancreatitis. Methods from May 2013 to May 2014, the patients with severe pancreatitis complicated with abdominal cavity in affiliated Hospital of our University were collected. 47 patients with severe infection, Two groups were randomly divided into two groups: the observation group (n = 23) and the control group (n = 24). The control group was treated with taenin alone for anti-infection, and the observation group was treated with traditional Chinese medicine prescription Buyang Huanwu decoction on the basis of the application of Taineng. The infection efficacy of the two groups was compared after 2 weeks of treatment. Results after 2 weeks of treatment, the total effective rate and bacteria clearance rate in the observation group were significantly higher than those in the control group (P 0.05) 0.01. The number of white blood cells in the observation group was significantly higher than that in the control group. Compared with the control group, the level of inflammatory mediators was significantly lower than that of the control group, and the immunity was significantly higher than that of the control group (P 0.05), and the mortality was significantly lower than that of the control group (P 0.01.Conclusion Buyang Huanwu decoction combined with Tai Neng can improve the immunity of the patients with acute severe pancreatitis complicated with abdominal infection. Control infection, promote the recovery of patients, reduce the death rate.
【作者单位】：郑州澍青医学高等专科学校中医系;郑州澍青医学高等专科学校第一附属医院;
【基金】：郑州澍青医专重点科研项目(12001)
【分类号】：R576

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