中西医结合治疗肝胆管结石术后黄疸加重期临床研究

Curative Observation of Applying Integrative Medicine to Treat Hepatolith Postoperative Patients with Aggravated Jaundice

目的：观察和分析中西医结合治疗肝胆管结石术后黄疸加重患者临床疗效。方法：选取本院2013年1月~2014年4月期间所收治175例肝胆管结石术后黄疸加重患者按照随机数字表法将其分组为对照组88例和观察组87例。对照组采用西药治疗;观察组在西药治疗基础上加用中药治疗。观察两组患者肝功能及胆红素改善情况、临床疗效等。结果：治疗前,两组患者临床各项症状比较无显著差异（P〉0.05）;治疗后,两组患者临床症状得到明显改善,观察组优于对照组（P〈0.05）;胆红素及肝功能也得到明显改善,观察组也优于对照组（P〈0.05）。观察组临床治疗有效率和不良反应分别为97.70%、3.45%（3/87）与对照组86.36%、7.95%（7/88）比较有显著差异（P〈0.05）。结论：采用中西医结合治疗肝胆管结石术后黄疸加重患者,可有效改善患者临床症状,提高临床疗效,加速患者康复,同时中西医结合临床不良反应较少,具有较高安全性。

Objective： Observing and analyzing clinical curative effect of combining traditional Chinese and western medicine treatment of postoperative jaundice hepatolith aggravating patients. Methods： Selecting patients of our hospital from January2013 to April 2014 during the independent study,175 patients with hepatolith postoperative jaundice was aggravating. According to random number table method would be grouped into controlled group of 88 cases and observation group of 87 cases. The controlled group： used western medicine treatment; The observation group： on the basis of western medicine combined with traditional Chinese medicine treatment. Two groups of patients with liver function and bilirubin was observed and clinical curative effect was estimated,etc. Results： Before the treatment,two groups of patients with clinical symptoms of the comparison（ P〈0. 05）; after treatment,two groups of patients with clinical symptoms were improved obviously,but the observation group was better than that of the controlled group（ P〈0. 05）. And bilirubin and liver function improved significantly,but the observation group was better than that of the controlled group（ P〈0. 05）; clinical treatment effectiveness and adverse reactions were 97. 70%（ 85 /87） and3. 45%（ 3 /87） of the observation group,and the controlled group were 86. 36%（ 76 /88） and 7. 95%（ 7 /88）（ P 0. 05）.Conclusion： Compared with the pure western medicine,by combining traditional Chinese and western medicine treatment of patients with hepatolith postoperative jaundice is aggravating,it can effectively improve the clinical symptoms,improve the clinical curative effect,accelerate the recovery. The adverse reaction is less of combining traditional Chinese and western medicine,with high security at the same time.