Observation of curative effect of Tongfu Jiedu Decoction on gastrointestinal dysfunction in severe acute pancreatitis
Objective:To observe the clinical efficacy of self-made Tongfu Jiedu Decoction on patients with severe acute pancreatitis(SAP)gastrointestinal dysfunction(Fu-real heat junction type)(TCMZheng:phlegm-heat retention).Methods:We selected 42 patients with severe acute pancreatitis(SAP)gastrointes-tinal dysfunction(TCMZheng:phlegm-heat retention)from January 2020 to April 2023 in the intensive med-icine department of Qiannan state traditional Chinese medicine hospital of our hospital,and randomly divided them into two groups.21 patients in the control group were treated with western medicine regular,and 21 pa-tients in the treatment group were treated with self-made tongfu jiedu decoction combined with western medi-cine regular.Results:After a 72-hour observation,it was found that the treatment group outperformed the control group in terms of improving vital signs(P<0.05).After 7 days of treatment,the APACHE II score,Ranson score,Traditional Chinese Medicine symptom score,and gastrointestinal function score were significant-ly lower in the treatment group compared to the control group(P<0.05).Concurrently,the mortality rate in the treatment group decreased,and the length of hospital stay was shortened.There were also differences in clinical manifestations,such as a faster disappearance of abdominal discomfort(abdominal pain and distension)(P<0.05).Conclusion:The results show that the Tongfu Jiedu Decoction can effectively promote the patient's vital signs,improve the clinical manifestations and promote the recovery of gastrointestinal function,so as to effectively improve the quality of life of patients and shorten the length of hospital stay.