消炎利胆片联合腹腔镜手术治疗急性胆囊炎的疗效观察

Observation on Efficacy of Xiaoyanlidan Tablets Combined with Laparoscopic Surgery in Treatment of Acute Cholecystitis

目的:探讨消炎利胆片联合腹腔镜手术治疗急性胆囊炎的临床疗效。方法:选取2015年5月—2017年5月武警浙江总队嘉兴医院外一科收治的急性胆囊炎患者80例,以双盲、随机数字表法分为对照组和观察组,每组40例。对照组患者单纯行腹腔镜手术治疗,观察组患者在对照组基础上于术前口服消炎利胆片,观察两组患者的临床疗效及术后恢复情况。结果:观察组患者的总有效率(95.0%,38/40)明显高于对照组(75.0%,30/40),差异有统计学意义(P<0.05);观察组患者术后体温恢复时间、首次肛门排气时间及住院时间均明显短于对照组,并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论:消炎利胆片联合腹腔镜手术治疗急性胆囊炎的效果显著,安全性高,可促进患者的术后康复,值得借鉴。

OBJECTIVE： To probe into the clinical efficacy of Xiaoyanlidan tablets combined with laparoscopic surgery in treatment of acute cholecystitis. METHODS： 80 patients with acute cholecystitis admitted into the surgery department of Jiaxing Hospital of Zhejiang General Armed Police Force from May. 2015 to May. 2017 were selected and divided into control group and observation group via double-blind and random number table, with 40 cases in each group. The control group was treated with laparoscopic surgery alone, while the observation group was given Xiaoyanlidan tablets orally based on the control group, the clinical efficacy and postoperative recovery of two groups were observed. RESULTS： The total effective rate of observation group （95.0%, 38/40） was significantly higher than that of the control group （75.0%, 30/40 ）, with statistically significant difference （ P 〈 0. 05 ） ; the postoperative recovery time of temperature, the first anus exhausting time and hospital stays of observation group were significantly shorter than those of the control group, with significantly lower incidence of complications than the control group, with statistically significant differences （P 〈 0. 05 ）. CONCLUSIONS ： The efficacy of Xiaoyanlidan tablets combined with laparoscopic surgery in treatment of acute cholecystitis is remarkable, with high safety, which can promote patients＇ postoperative recovery and worth reference.