清胰導(dǎo)瀉方熱奄包佐治急性胰腺炎肝郁氣滯證的臨床觀察

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關(guān)鍵詞：清胰導(dǎo)瀉方；熱奄包；急性胰腺炎；肝郁氣滯證；臨床觀察

中圖分類(lèi)號(hào)：R657.5文獻(xiàn)標(biāo)志碼：B文章編號(hào)：1007-2349（2024）03-0028-05

Clinical Observation of Hot Compress Pack of Qingyidaoxie Prescription for the

Adjuvant Treatment of Acute Pancreatitis Syndrome of Liver-Qi Stagnation

WANG Rui1，YI Xiao-lei2

（1. Hunan University of Traditional Chinese Medicine，Changsha 410208，China;

2. Changsha Hospital of Traditional Chinese Medicine，Changsha 410100，China）

【Abstract】Objective： To explore the clinical effect of hot compress pack of Qingyidaoxie Prescription in the adjuvant treatment of acute pancreatitis syndrome of liver-qi stagnation. Methods： A total of 60 patients with acute pancreatitis syndrome of liver-qi stagnation were selected. They were divided into observation group and control group by random number table method，30 cases each group. The control group was treated with conventional western medicine and the observation group was treated with hot compress pack of Qingyidaoxie Prescription on the basis of the control group. The curative effect of the two groups was compared，and the laboratory indexes（white blood cell count，serum amylase，C-reactive protein），intestinal function score，abdominal pain and distension relief time，and TCM syndrome score before and after treatment were compared. Results： The total effective rate of the observation group was higher than that of the control group（P<0.05）. The white blood cell count，serum amylase，C-reactive protein，TCM syndrome score and intestinal function score in the observation group were lower than those in the control group（P<0.05）. The relief time of abdominal pain and distension in the observation group was shorter than that in the control group（P<0.05）. Conclusion： The hot compress pack of Qingyidaoxie Prescription for the adjuvant treatment of acute pancreatitis syndrome of liver-qi stagnation can accelerate the recovery of intestinal function，relieve the symptoms of abdominal pain and distension faster and reduce the inflammatory index and serum amylase.

【Key words】Qingyidaoxie Prescription; Hot Compress Pack; Acute Pancreatitis; Liver-Qi Stagnation Syndrome; Clinical Observation

急性胰腺炎（acute pancreatitis，AP）是指由膽囊結(jié)石、高脂血癥、暴飲暴食、嗜酒等多種病因引起的多以急性腹痛為臨床表現(xiàn)的胰腺局部炎性反應(yīng)［1］，該病起病急、進(jìn)展迅速，重癥患者還可出現(xiàn)呼吸窘迫、休克、多器官功能衰竭甚至死亡，且該病易復(fù)發(fā)，嚴(yán)重影響患者的生活質(zhì)量。（剩余6556字）