不同途径注入大黄治疗急性重症胰腺炎
重症急性胰腺炎;大黄;鼻空肠管;胃管,邓彬,丁岩冰,严志刚,王远志,吴健,肖炜明,通讯作者:,Treatmentofsevereacutepancreatitisbydifferentadministrationroute:acomparativeanalysi
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邓彬, 丁岩冰, 严志刚, 王远志, 吴健, 肖炜明, 扬州市第一人民医院消化内科 江苏省扬州市 225001
通讯作者: 邓彬, 225001, 江苏省扬州市泰州路45号, 扬州市第一人民医院消化内科. brightyq@sina.com.cn
电话: 0514-2225289
收稿日期: 2007-01-15 接受日期: 2007-02-13
Treatment of severe acute pancreatitis by different administration route: a comparative analysis
Bin Deng, Yan-Bing Ding, Zhi-Gang Yan, Yuan-Zhi Wang, Jian Wu, Wei-Ming Xiao
Bin Deng, Yan-Bing Ding, Zhi-Gang Yan, Yuan-Zhi Wang, Jian Wu, Wei-Ming Xiao, the First People’s Hosipital of Yangzhou City, Yangzhou 225001, Jiangsu Province, China
Correspondence to: Bin Deng, Department of Gastroenterology, the First People's Hospital of Yangzhou City, Yangzhou 225001, Jiangsu Province, China. brightyq@sina.com.cn
Received: 2007-01-15 Accepted: 2007-02-13
Abstract
AIM: To compare the efficacy of rude rhubarb in the treatment of severe acute pancreatitis (SAP) by nasogastric or nasojejunal feeding.
METHODS: SAP patients were divided into group A (n = 20) and B (n = 23) randomly. Based on comprehensive treatment, the patients in group A were given rude rhubarb by nasogastric feeding, while those in group B were given rude rhubarb by nasojejunal feeding. The APACHE-Ⅱ score and Balthazar CT score on the 7th and 14th day were observed, and the level of serum C-reactive protein (CRP) and amylase and the intestinal function were also detected.
RESULTS: On day 7, the APACHE-Ⅱ score in group B was significantly lower than that in group A (3.76 ± 2.82 vs 4.58 ± 2.07, P < 0.05), but Balthazar CT score had no marked difference between the two groups (P > 0.05). On day 14, both the APACHE-Ⅱ score and Balthazar CT score were not notably different between group A and B (P > 0 ......
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