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目的：研究复方大承气汤灌肠对轻症急性胰腺炎患者腹腔压力的影响。方法：将80例胰腺炎患者随机分为两组，研究组在常规治疗的基础上加用复方大承气汤保留灌肠，对照组使用同量生理盐水灌肠，比较两组腹腔压力、肠鸣音恢复时间及IL-6、TNF-α、CRP等指标。结果：研究组第1天的腹腔压力与对照组比较无明显差异（p>0.05），第2、3天研究组的腹腔压力明显低于对照组（p＜0.05），首次排气时间、肠鸣音恢复时间研究组较对照组明显缩短（p＜0.05），研究组的炎性指标较之对照组有所降低（p＜0.05）。结论：采用复方大承气汤灌肠对轻症急性胰腺炎确切有效。“,”Objective: To study the effect of compound dachengqi decoction on the intra-abdominal pressure (IAP) of patients suffering from mild acute pancreatitis(MAP). Methods:80 patients were divided into 2 groups, treatment group and control group. Patients in the treatment group received the compound dachengqi decoction enema, while patients in the control group received the normal saline enema. The intra-abdominal pressure, recovery time of the bowelsound, first fart time, IL-6, TNF-αand CRP were compared. Results: The application of the compound dachengqi decoction enema could reduce IAP of patients with MAP, shorten the time of recovery of bowelsound and first fart, and could also reduce IL-6, TNF-αand CRP. Conclusion: The compound dachengqi decoction enema in MAP is worth popularizing with good effect.