利胆排石片辅助腹腔镜胆囊切除术治疗慢性结石性胆囊炎临床研究
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R657.4+1;R657.4+2

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Clinical Study of Lidan Paishi Tablets Assisting Laparoscopic Cholecystectomy for Chronic Calculous Cholecystitis
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    摘要:

    目的:观察利胆排石片辅助腹腔镜胆囊切除术治疗慢性结石性胆囊炎的临床疗效。方法:选取慢性结石性胆囊炎患者72 例,按随机数字表法分为对照组和观察组各36 例。2 组均给予腹腔镜胆囊切除术,对照组在术后次日即给予熊去氧胆酸治疗;观察组在对照组的基础上给予利胆排石片治疗。2 组连续治疗8周。比较2 组肝胆湿热证证候评分、临床疗效以及并发症发生率。结果:观察组总有效率为94.44%,对照组为72.22%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组胁肋胀痛、晨起口苦、口干欲饮等证候评分比较,差异无统计学意义(P>0.05);治疗后,2 组胁肋胀痛、晨起口苦、口干欲饮等证候评分均较治疗前明显减少(P<0.05),且观察组3 项证候评分均低于对照组(P<0.05)。观察组并发症发生率为2.78%,低于对照组的22.22%,组间比较,差异有统计学意义(P<0.05)。结论:利胆排石片辅助腹腔镜胆囊切除术治疗慢性结石性胆囊炎疗效显著,能有效改善中医证候,减少并发症的发生。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Lidan Paishi Tablets assisting laparoscopic cholecystectomy for chronic calculous cholecystitis. Methods:A total of 72 cases of patients with chronic calculous cholecystitis were selected and divided into the control group and the observation group according to the random number table method,with 36 cases in each group. Both groups were given laparoscopic cholecystectomy; the control group was treated with ursodeoxycholic acid on the next day after the surgery, and the observation group was additionally treated with Lidan Paishi Tablets based on the treatment of the control group. Both groups were continuously treated for eight weeks. Scores of the livergallbladder damp- heat syndrome, clinical effects and the incidence of complications were compared between the two groups. Results: The total effective rate was 94.44% in the observation group and 72.22% in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of syndrome scores of distending pain in the rib-side, bitter taste in the morning,and thirst with a desire to drink(P>0.05). After treatment,syndrome scores of distending pain in the rib- side, bitter taste in the morning, and thirst with a desire to drink in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the three scores in the observation group were lower than those in the control group(P<0.05). The incidence of complications was 2.78% in the observation group,lower than that of 22.22% in the control group,the difference being significant(P<0.05). Conclusion:Lidan Paishi Tablets assisting laparoscopic cholecystectomy has a significant curative effect in the treatment of chronic calculous cholecystitis, which can effectively improve traditional Chinese medicine syndromes and reduce the occurrence of complications.

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叶娜珊,王以巧,倪乐.利胆排石片辅助腹腔镜胆囊切除术治疗慢性结石性胆囊炎临床研究[J].新中医,2022,54(22):80-83

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  • 在线发布日期: 2022-11-27
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