柴胡疏肝散治疗胆囊切除术后综合征30例

ChaiHu ShuGan Powder in Treating 30 Cases of Postcholecystectomy Syndrome

目的:观察柴胡疏肝散治疗胆囊切除术后综合征(PCS)的临床疗效。方法:将60例患者随机分为观察组、对照组各30例。2组均给予镇痛、抗感染、纠正水电解质平衡以及营养支持治疗,恶心呕吐的患者给予胃复安、地塞米松等对症治疗。观察组在对照组治疗的基础上加用柴胡疏肝散,1剂/d。结果:总有效率观察组为96.67%,对照组为86.67%,2组比较差异有统计学意义(P<0.05)。恶心呕吐、腹泻、睡眠障碍、食欲障碍、术后疼痛等症状评分,2组治疗后均明显降低,差异有统计学意义(P<0.05),观察组较对照组降低更明显,差异有统计学意义(P<0.05)。结论:柴胡疏肝散治疗PCS临床疗效显著。

Objective： To observe therapeutic effects of Chai Hu Shu Gan powder in the treatment for postcholecystectomy syndrome（PCS）. Methods：All 60 patients were randomized into the observation group and the control group equally. All the patients accepted routine treatment including easing pain, anti-infection, correcting water and electrolyte balance and nutritional support, the patients who suffered nausea and vomiting received symptomatic treatment such as metoclopramide, dexamethasone and others. The observation group orally took Chai Hu Shu Gan powder on the basis of the therapies the control group accepted, one dose per day. Results： Total effective rate of the observation group was 96.67%, higher than 86.67% of the control group, and the difference had statistical meaning in the comparison（P〈0.05）. Symptom scales of nausea and vomiting, diarrhea, sleep disorder, dysorexia, postoperative pain and others decreased significantly in both groups after treating and the difference had statistical meaning（P〈0.05）, the decrease of the observation group was more notable compared with the control group（P〈0.05）. Conclusion： Chai Hu Shu Gan powder is effective in the treatment for PCS.