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目的:观察胃俞、足三里穴位注射甲氧氯普胺对急性胰腺炎患者(acute pancreatitis,AP)治疗的效果。方法:将90例AP患者按照数字表格法分为两组,采用2013年新修订亚特兰大标准评价两组患者AP的严重程度后进行治疗,常规组采用西药氟氧沙星、雷尼替丁胶囊口服等常规处理和监护治疗,研究组在常规组基础上使用甲氧氯普胺水针穴位注射,观察治疗后两组患者肠鸣音恢复时间、首次肛门排气时间、住院时间、APACHE II评分变化情况及治疗总有效率。结果:较之常规组,研究组患者治疗效果明显优异,总有效率84.4%,无中转手术与死亡,对照组总有效率66.8%,中转手术5例,死亡病例2例;研究组患者治疗后经记录肠鸣音恢复时间、首次肛门排气时间、住院时间均短于常规组,差异比较具有统计学意义(P<0.05);研究组患者APACHE II评分在治疗第3天,第7天分别为(7.9±1.2)、(5.2±0.6),较之常规组低,变动量比较具有显著差异(P<0.05)。结论:在西医常规治疗的基础上采用甲氧氯普胺穴位注射有明显的改善AP患者肠功能的作用,能够有效缩短患者痛苦,减少复发率,加快患者恢复肠功能。
Objective: To observe the effect of metoclopramide injection in treatment of acute pancreatitis (AP) in Weishu and Zusanli points. Methods: Ninety AP patients were divided into two groups according to the digital table method. The severity of AP was evaluated by using the newly revised Atlanta standard in 2013. The routine group was treated with fluoxacin and ranitidine capsules And other routine treatment and custody treatment. The study group was treated with metoclopramide water injection on the basis of the conventional group. The recovery time of bowel sounds, the time of first anal exhaust, length of hospital stay, changes of APACHE II score The situation and the total effective rate of treatment. Results: Compared with the conventional group, the treatment group had a significantly better curative effect, with a total effective rate of 84.4%. There was no relapse and death in the control group, with a total effective rate of 66.8% in the control group, 5 cases of transit surgery and 2 deaths. In the study group, The recorded time of recovery of bowel sounds, the time of the first anal exhaust and the length of hospital stay were shorter than those of the conventional group (P <0.05). The APACHE II scores of the study group were significantly higher on the 3rd and 7th day of treatment (7.9 ± 1.2) and (5.2 ± 0.6), respectively, which were significantly lower than those in the control group (P <0.05). Conclusion: The use of metoclopramide injection on the basis of routine treatment of Western medicine can significantly improve the intestinal function of patients with AP, which can effectively shorten the patients ’pain, reduce the recurrence rate and speed up the patients’ recovery of intestine function.