开泄复方治疗肝胆湿热型急性胆囊炎42例

KaiXie Compound in the Treatment for 42 Cases of Acute Cholecysititis of Liver-gallbladder Dampness-heat Pattern

目的:观察开泄复方治疗肝胆湿热型急性胆囊炎(acute cholecystitis,AC)的临床疗效。方法:将85例肝胆湿热型AC患者随机分为对照组43例和观察组42例,对照组予以西医常规治疗,观察组联合开泄复方辨证论治,比较2组临床疗效。结果:总有效率观察组为97.62%,对照组为83.75%,2组比较差异有统计学意义(P<0.05);主症积分、次症积分、总积分观察组均明显低于对照组(P<0.05);发热、恶心呕吐、胁痛、白细胞计数、胆红素、B超胆囊恢复时间观察组均明显短于对照组(P<0.05)。结论:开泄复方治疗肝胆湿热型AC患者,有助于改善患者临床症状,提高疗效。

Objective： To observe clinical effects of KaiXie compound in treating acute cholecystitis（AC） of liver-gallbladder dampness-heat pattern. Methods： All 85 patients were randomly divided into 43 cases of the control group and 42 cases of the observation group, the control group received routine treatment of western medicine and the observation group Kai Xie compound combined with routine treatment on the foundation of syndrome differentiation and treatment, clinical effects of both groups were compared. Results： Total effective rate of the observation group was 97.62%, higher than 83.75% of the control group, the difference demonstrated statistical meaning（P〈0.05）; the observation group was lower than the control group in main symptom scores, secondary symptom scores and total scores obviously（P〈0.05）; the observation group was shorter than the control group in fever, nausea and vomiting, costalgia,WBC, bilirubin and B-ultrasound gallbladder recovery time notably（P〈0.05）. Conclusion： Kai Xie compound in treating AC patients of liver-gallbladder dampness-heat pattern is helpful to improve clinical symptoms of the patients and curative effects.