Qingyi Decoction Prescription Nasal Feeding and Mirabilite and Western Medicine in the Treatment of Severe Acute Pancreatitis on Random Parallel Control

2014 
[Objective] To observe the effect of Qingyi Decoction prescription nasal feeding and mirabilite and Western medicine in the treatment of severe acute pancreatitis. [Methods] Using randomized controlled methods, will be divided into two groups according to the random number table, 25 cases of hospitalized patients. The control of Western medicine treatment group of 12 cases. The first level nursing. The Sodium Chloride Injection octreotide 0.6mg + 0.9% 48mL, 2 /d, intravenous injection. Omeprazole Sodium Chloride Injection needle 42.6mg + 0.9% 100mL, 2 /d, intravenous drip. Imipenem and statins needle 1000mg+0.9% Sodium Chloride Injection 100mL, intravenous drip, 3 times /d. Gabexate mesilate needle 0.3g + 5% Glucose Injection 500mL, 2 /d, intravenous drip. The characteristics of traditional Chinese medicine in treatment of 13 cases of treatment group. The patient underwent gastrointestinal decompression after 12h pull out tube, the nutrition in jejunal tube under endoscope. Qingyi Jiedu Decoction(Shengdahuang later 30g,Mangxiao dissolve,Jishi, Houbu, Huanglian, Danshen each 15g,Pugongying 30g,Taoren, Chaihu each 10g, Huyansuo 15g), add 500ml of water concentrated decoction to 100mL, 30mL/, 3 /d, nasal feeding. The external application of mirabilite. Western medicine treatment with the control group. Continuous treatment with 10d for 1 courses. Observation of clinical symptoms, the time index, adverse reaction. Continuous 3 courses of treatment, the curative effect. 9 cases of group therapy. [Results] 3 cases were effective, 1 cases ineffective, the total efficiency of 88.31%. 6 cases of control group, 4 cases effective, 2 cases ineffective, the total efficiency of 72.33%. The treatment group was better than control group(P 0.05). Each time indexes in the treatment group were less than that of the control group(P 0.05). [Conclusion] Qingyi Decoction prescription nasal feeding and mirabilite and Western medicine in the treatment of severe acute pancreatitis effect is significant, worthy of promotion.
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