疏肝清胆汤治疗肝胆湿热型慢性胆囊炎的临床观察

Clinical observation on Shugan Qingdan Decoction in Treating Chronic Cholecystitis of Dampness-heat of Liver and Gallbladder

目的分析探讨肝胆湿热型慢性胆囊炎患者采用疏肝清胆汤治疗的效果。方法对我院2014年12月—2016年12月收治的78例肝胆湿热型慢性胆囊炎患者进行分组研究,采用随机双盲法进行随机分组,均分为对照组和研究组,每组39例。对照组患者实施常规基础治疗,研究组患者在常规治疗的前提下给予疏肝清胆汤进行治疗,治疗4周为一个疗程,之后对比两组患者的临床疗效。结果研究组患者加用疏肝清胆汤治疗后总有效率为94.87%,对照组患者实施常规基础治疗后的总有效率为74.36%,两组相比差异显著(χ2=6.30,P<0.05);且研究组患者的中医证候积分改善情况和随访6个月后的复发率均显著优于对照组,两组相比差异显著(P<0.05)。结论肝胆湿热型慢性胆囊炎患者临床常规基础治疗的前提下,另给予疏肝清胆汤进行治疗可以有效的提高临床效果,缓解患者的临床症状,具有推广价值。

Objective To evaluate the effect of Shugan Qingdan decoction in treating chronic cholecystitis of dampness-heat of liver and gallbladder. Methods A total of 78 patients with chronic cholecystitis were enrolled in this study from December 2014 to December 2016.The patients were divided into control group and study group by randomized double-blind method. The patients in the control group underwent routine basic treatment. The patients in the study group were treated with Shugan Qingdan decoction under the condition of routine treatment.The treatment continued for 4 weeks as a course of treatment,and then the clinical effecty of the two groups was compared. Results The total effective rate in the treatment group and the control group was 94. 87% and 74. 36%. The difference between the two groups was significant（χ2= 6. 30,P〈0. 05）（P〈0. 05）. Conclusion The improvement rate of TCM syndromes and the recurrence rate after 6months follow-up of the study group were significantly higher than those of the control group（P〈0. 05）. Conclusion On the basis of the conventional routine treatment,Shugan Qingdan decoction can effectively improve the clinical effect,relieve the clinical symptoms,and has the promotion value.