大柴胡汤内服联合芍药甘草外敷治疗急性胆囊炎的临床观察

Clinical Observation on Oral Administration of Dachaihu Decoction Combined with External Application of Shaoyao Gancao in the Treatment of Acute Cholecystitis

目的观察大柴胡汤加减内服联合芍药甘草散外敷治疗急性胆囊炎胆腑郁热证的临床疗效。方法选取我院住院收治的80例急性胆囊炎患者,采用随机数字表法,分为治疗组和对照组,每组40例。治疗组在西药常规治疗基础上采用大柴胡汤加减口服联合芍药甘草散外敷治疗,对照组给予西药常规治疗。对比治疗前后肝功:谷丙转氨酶(ALT)、总胆红素(TBIL),腹部彩超胆壁厚度变化,以及腹痛评分改善情况。连续治疗1周后判定疗效。结果治疗后2组患者ALT、TBIL、腹部彩超(胆壁厚度)、腹痛症状均有所改善,差异有统计学意义(P<0.05);治疗组总有效率92.50%,对照组总有效率82.50%,治疗组疗效优于对照组(P<0.05)。结论大柴胡汤内服联合芍药甘草外敷治疗急性胆囊炎的临床疗效好,值得进行临床推广和应用。

Obiective To observe the clinical effect of oral administration of Dachaihu decoction combined with external application of Shaoyao Gancao in the treatment of acute cholecystitis with gallbladder-organ stagnation-heat syndrome.Methods Eighty patients with acute cholecystitis admitted to our hospital were randomly divided into treatment group and control group,with 40 cases in each group.The treatment group was treated with Dachaihu decoction combined with Shaoyao Gancao powder on the basis of routine treatment of Western medicine,while the control group was treated with routine treatment of Western medicine.The ALT,TBIL,abdominal color Doppler ultrasonography and improvement of abdominal pain score of treatment before and after was compared.After 1 week of continuous treatment,the therapeutic effect was evaluated.Results Both were improved after treatment on ALT,TBIL,abdominal color doppler ultrasonography(bile wall thickness),abdominal pain symptoms,and the difference was statistically significant(P<0.05).The total effective rate of the treatment group was 92.50%,and the total effective rate of the control group was 82.50%.The curative effect of treatment group was better than that of control group(P<0.05).Conclusion Dachaihu decoction combined with Shaoyao Gancao has a good clinical effect in the treatment of acute cholecystitis,which is worthy of clinical promotion and application.