摘要
目的探讨、评估清胆化石汤配合保胆取石术治疗胆囊结石的临床疗效。方法选取2014年7月到2016年1月医院收取的87例初患的胆囊结石患者,对其进行微创保胆取石术,术后五天随机分为两组,实验组(n_1=43)服用清胆化石汤,对照组(n_2=44)服用牛磺熊去氧胆酸,观察术后并发症,胆囊恢复情况以及复发率。结果术后半年与一年,实验组与对照组的腹胀,右上腹不适与胆绞痛的发生率均显著比术前低(P<0.05),实验组与对照组相比,腹胀,右上腹不适,腹泻,胆绞痛的发生率与胆囊结石复发率没有显著差别(P>0.05),但实验组胆囊排空指数比对照组高,同时胆囊壁厚比对照组低(P<0.05)。结论胆化石汤在预防胆囊结石复发方面和牛磺熊去氧胆酸疗效相当。在恢复、增强胆囊功能方面,清胆化石汤效果甚至优于牛磺熊去氧胆酸。
Objective To observe the efficacy on treatment of gallbladder stones with minimally invasive and Chinese medicine cleaning fossil decoction.Methods 87 patients are cured with gallbladder stones removal operation then divided into experimental group（n_1=43） and control group（n_2=44） randomly.The experimental group took oral administration of cleaning fossil decoction while control group took oral administration of bezoar deoxycholic acid.The gallbladder function is observed and statistically analyzed.Results The gallbladder wall thickness in experimental group is lower than that of control group and gallbladder emptying index is larger（P0.05）.Conclusion The efficacy of Chinese medicine cleaning fossil decoction in strengthening gallbladder function is better than bezoar deoxycholic acid after operation.
作者
张淑玲
孟令军
ZHANG Shu-ling MENG Ling-jun(Tongchuan Maternal and Child Health-Care Center, Tongchuan 727007, Chin)
出处
《现代中药研究与实践》
CAS
2017年第5期65-67,共3页
Research and Practice on Chinese Medicines
关键词
胆囊结石
清胆化石汤
保胆取石术
牛磺熊去氧胆酸
Gallbladder stones
cleaning fossil decotion
preservation of gallbladder
bezoar deoxycholic acid
