胆心综合征的胆囊切除术疗效分析

Curative Effect Analysis of Cholecystectomy for Biliary-cardiac Syndrome

目的比较胆心综合征患者药物治疗和手术治疗的疗效。方法将86例患者随机分为两组,药物治疗组42例,给予抗感染、钙离子拮抗剂等治疗;手术治疗组44例,进行胆囊切除术治疗。观察患者接受治疗后1周心电图指标如ST-T变化以及心率指标恢复情况。结果手术治疗组患者接受治疗后ST段回升幅度、心动过缓以及心动过速缓解均明显优于药物治疗组,差别有统计学意义(P<0.05)。结论对于适合手术的患者,胆囊切除术是治疗胆心综合征的有效方法,疗效明显,值得临床推广。

Objective Comparison the effect between drug therapy and operative therapy for patients of Biliary - cardiac syn- drome. Methods Taking 86 patients into two groups in random, the drug therapy group includes 42 patients, which offer anti - infection and calcium ion antagonist treatment. The operative therapy group includes 44 patients,which operate eholeeystectomy treatment. Ob- servation the index variance of electrocardiogram, such as ST - T,and the heart ratio recover after therapy one week. Results After be- ing treated for operative therapy group, the recovery range of ST section,the remission of bradycardia and tachycardia were better than that of drug therapy group. The difference was of significance in statistics science （ P 〈 0.05 ）. Conclusion For the patients who are suitable for operative ,cholecystectomy is an effective method for treating Biliary - cardiac syndrome. The curative effect is obvious and worth being popularized in clinical.