胆结石术后辅用通腑利胆汤治疗胆管炎的疗效观察

Clinical Observation of Tongfu Lidan Decoction in the Treatment of Cholangitis after Gallstone Surgery

目的观察胆结石术后辅用通腑利胆汤治疗胆管炎的临床疗效。方法选取68例胆结石并发胆管炎患者临床资料进行回顾分析,按照随机数字表法将患者分为人数均等的两组(各34例);其中对照组患者接受常规西药治疗,观察组患者在此基础上使用通腑利胆汤治疗。结果治疗后两组患者临床症状均有显著改善,其中观察组患者腹痛缓解时间、退热时间显著短于对照组,P<0.05;治疗1个疗程后患者血清胆红素水平显著下降,观察组下降程度更为显著,P<0.05;本次治疗效果良好,其中观察组治疗总有效率为97.06%,对照组治疗总有效率为82.35%,显著观察组疗效更高,P<0.05。结论临床使用通腑利胆汤辅助治疗胆结石术后胆管炎,可显著控制患者临床症状并显著缓解,具有推广使用价值。

OBJECTIVE To observe the clinical effect of Tongfu Lidan Decoction in the treatment of cholangitis after gallstone surgery. METHODS The clinical data about 68 patients of gallstone associated with cholangitis was retrospectively analyzed. The patients were randomly and equally divided into two groups, 34 cases each group. The control group adopted the conventional western drug therapy;on this basis, the observation group took Tongfu Lidan Decoction. RESULTS After treatment, the clinical symptoms of two groups were greatly improved. The time of relie- ving stomachache and bringing down the fever of observation group was shorter than that of control group （P 〈 0. 05 ） ：after one course .the serum bilirubin content of observation group was even lower than that of control group （ P〈 0.05） ; the treatment effect was favorable. The total effective rate of observation group （97.06%） was higher than that of control group （82.35%） （ P 〈 0. 05 ）. CONCLUSION The adjuvant therapy of Tongfu Lidan Decoction