柴胡郁金排石汤结合硬膜外腔阻滞麻醉治疗胆总管结石疗效研究

Observation of curative effect of Chaihu Yujin Paishi decoction combined with epidural block anesthesia in the treatment of choledocholithiasis

目的:观察中药结合硬膜外腔阻滞麻醉治疗胆总管结石的疗效。方法:随机选取胆总管结石患者60例,依据随机数字表示法分为中药结合硬膜外腔阻滞麻醉穿刺术治疗组(中西医结合组,n=30)和单独硬膜外腔阻滞麻醉穿刺术治疗组(单独西医组,n=30)两组,对两组患者的临床疗效、血清生化指标水平、胆汁引流量、住院时间进行统计分析。结果:中西医结合组患者治疗的总有效率90.0%(27/30)显著高于单独西医组66.7%(20/30)(P<0.05),血清ALT、GGT、DB、TB水平均显著低于单独西医组(P<0.05),胆汁引流量显著多于单独西医组(P<0.05),住院时间显著短于单独西医组(P<0.05)。结论:中药结合硬膜外腔阻滞麻醉治疗胆总管结石的疗效较单独硬膜外腔阻滞麻醉显著,值得应用。

Objective:To observe the effect of Chaihu Yujin Paishi decoction combined with epidural block anesthesia in the treatment of choledocholithiasis.Methods:60 cases of patients with choledocholithiasis were randomly selected,these patients were divided into traditional Chinese medicine combined with epidural anesthesia puncture treatment group(combination of traditional Chinese and western medicine treatment group,n=30)puncture and single epidural anesthesia group(western medicine alone group,n=30)two groups according to the random table method,the clinical efficacy,serum biochemical indexes,bile drainage and hospitalization time of the two groups were statistically analyzed.Results:The total efficiency of the combination of traditional Chinese and western medicine group 90.0%(27/30)was significantly higher than the western medicine alone group 66.7%(20/30)(P<0.05),the serum ALT,GGT,DB and TB levels were significantly lower(P<0.05),the biliary drainage was more significantly(P<0.05),the hospitalization time was significantly shorter than western medicine alone group(P<0.05).Conclusion:The effect of traditional Chinese medicine combined with epidural block anesthesia in the treatment of choledocholithiasis is more significant than epidural block,so is worthy of promotion.