| 蔡浩,杜尖,罗城,等.芒硝腹部外敷治疗轻症型胆源性胰腺炎 32例[J].安徽医药,2024,28(2):395-398. |
| 芒硝腹部外敷治疗轻症型胆源性胰腺炎 32例 |
| Effect of external application of mirabilite to theabdomen on patients with mild biliary pancreatitis:a report of 32 cases |
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| DOI：10.3969/j.issn.1009-6469.2024.02.041 |
| 中文关键词: 胰腺炎 投药，皮肤 胆源性胰腺炎 芒硝 腹腔镜胆囊切除术 粘连 |
| 英文关键词: Pancreatitis Administration,cutaneous Biliary pancreatitis Mirabilite Laparoscopic cholecystectomy Adhesion |
| 基金项目:遂宁市中医药科研专项课题( SN2022B10) |
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| 中文摘要: |
| 目的观察芒硝腹部外敷治疗轻症型胆源性胰腺炎病人的疗效。方法选取 2017年 11月至 2021年 12月于遂宁市中医院肝胆外科行腹腔镜胆囊切除的轻症型胆源性胰腺炎病人 62例。常规治疗 30例(对照组)，常规治疗加用芒硝腹部外敷组 32例(观察组)。比较两组病人白细胞( WBC)、 C反应蛋白( CRP)、术区粘连、术前等待时间、手术时间、住院时间等指标。结观察组在入院第 5天 WBC、CRP改善明显优于对照组，差异有统计学意义( P<0.01)；观察组与对照组粘连评分［( 1.06± 0.5果6)分、(1.97±0.56)分］术前等待时间［(5.69±0.74)d、(6.53±0.73)d］手术时间［( 38.84±5.77)min、(49.77±8.60)min］，住院时间［(8.97±1.06)d、(9.80±1.1，3)d］比较，均差异有统计学意义( P<0.05)。结论，芒硝腹部外敷可降低轻症型胆源性胰腺炎病人炎症反应、减轻术区粘连、缩短等待手术、手术及住院时间。 |
| 英文摘要: |
| Objective To investigate the effect of abdominal application of mirabilite on patients with mild acute biliary pancreatitis (MABP). Methods Sixty-two patients with MABP, who underwent laparoscopic cholecystectomyin theDepartment of Hepatobiliary Surgeryof Suining Hospital of Traditional Chinese Medicinefrom November 2017 to December 2021, were chosen forthe study. The con.trol group (n=30) received conventional treatment, while the study group (n=32) received conventional treatment plus external applica. tion of mirabilite to the abdomen. White blood cell (WBC), C-reactive protein (CRP), surgical site adhesion, preoperative waiting time,operation timeand length ofhospitalstay were compared between the two groups.Results The study group had a significantly better de.crease in WBC and CRP on the 5th day of admission than the control group with statistically significant difference (P<0.01).Differences were found to be significant between the two groups in score of adhesion[(1.06±0.56) points vs. (1.97±0.56) points],preoperative waiting time [(5.69± 0.74)d vs. (6.53±0.73)d], operation time[(38.84±5.77)min vs. (49.77±8.60)min], length of hospital stay[(8.97±1.06)d vs. (9.80±1.13)d](P<0.05).Conclusion Abdominal external application of mirabilite in MABP patients can decrease inflammation reac.tion, reduce surgical site adhesion, shorten preoperative waiting time, operation time and length of hospital stay. |
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