Effect of traditional Chinese medicine enema combined with rhubarb acupoint in the treatment of severe acute pancreatitis complicated with paralytic ileus
10.3760/cma.j.issn.1008-6706.2019.11.001
- VernacularTitle: 中药灌肠联合生大黄穴位贴敷用于重症急性胰腺炎并发麻痹性肠梗阻的效果观察
- Author:
Peiying WEN
1
;
Yongqiang XU
;
Meizhen FANG
;
Jianying CHEN
Author Information
1. Department of General Surgery, the First People's Hospital of Huzhou, Huzhou, Zhejiang 313000, China
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Intestinal obstruction;
Enema;
Acupuncture points;
Transdermal patch;
Drugs, Chinese herbal
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(11):1281-1284
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical effect of traditional Chinese medicine enema combined with rhubarb acupoint in the treatment of severe acute pancreatitis(SAP) complicated with paralytic ileus.
Methods:A total of 60 SAP patients complicated with paralytic ileus treated in the First People's Hospital of Huzhou from June 2015 to June 2017 were selected and randomly divided into two groups by random lottery method, with 30 cases in each group.The two groups were treated with routine anti-infection and rehydration.The control group was treated with traditional Chinese medicine enema combined with placebo, and the observation group was treated with traditional Chinese medicine enema combined with rhubarb on Shenque acupoint, and the two groups were treated for 7d.The recovery time of blood amylase, bowel sounds recovery time, first self defecation time, local complications and mortality were observed in the two groups.
Results:The recovery time of blood amylase, the recovery time of intestinal sound and the time of the first defecation were (8.87±2.30)d, (2.88±1.09)d and (3.51±1.32)d, respectively, which were significantly shorter than those of the control group [(10.29±2.01)d, (3.67±1.30)d and (4.57±1.41)d], the differences were statistically significant(t=-3.601, -3.607, -4.251, all P<0.001). The incidence rate of local complications in the observation group was 6.7%(2/30), which was significantly lower than 36.7%(11/30) in the control group(χ2=16.875, P<0.001), and there was no statistically significant difference in the mortality rate between the two groups(χ2=3.333, P=0.068).
Conclusion:The application of Chinese medicine enema combined with the acupoint of rhubarb in the treatment of SAP patients complicated with paralytic ileus can effectively promote the recovery of intestinal peristalsis, shorten the duration of paralytic intestinal obstruction, reduce the complications and improve the clinical effect.
