中药鸡骨草汤治疗胆总管结石术后黄疸的临床疗效

Efficacy of the Jigucao decoction on jaundice after choledocholithiasis surgery

目的:评价中药鸡骨草汤在治疗胆总管结石术后黄疸中的应用价值。方法:本研究选择我院2017年12月-2018年12月收治的96例胆总管结石术后黄疸患者,采用随机数字表法将其分为对照组(采用常规西药治疗,48例)与观察组(在对照组基础上加用中药鸡骨草汤治疗,48例),对比两组患者血清总胆红素(Total Bilirubin,TBIL)、结合胆红素(Direct Bilirubin,DBIL)、谷丙转氨酶(Alanine Aminotransferase,ALT)、谷草转氨酶(Aspartate Aminotransferase,AST)、白细胞介素-6(Interleukin-6,IL-6)水平及疗效。结果:治疗前,两组患者实验室指标检测结果差异无统计学意义(P>0.05),治疗后观察组TBIL、DBIL、ALT、AST、IL-6水平均明显低于对照组,差异具有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。结论:结合血清实验室指标恢复情况与临床疗效,明确中药鸡骨草汤在加速胆总管结石术后黄疸退黄上优势明显,值得临床应用与推广。

Objective: To evaluate the application value of the Jigucao decoction( 鸡骨草汤) on jaundice after choledocholithiasis surgery. Methods: 96 patients were divided into the control group(48 cases) and the observation group(48 cases) by random number table method. The control group was treated with conventional western medicine, and the observation group was treated with the Jigucao decoction more. Results: After treatment, the levels of TBIL, DBIL, ALT, AST and IL-6 in the observation group were significantly lower than those in the control group(P﹤0.05). The total efficiency in the observation group was higher than the control group(P﹤0.05). Conclusion: The Jigucao decoction on jaundice after choledocholithiasis surgery has obvious advantages in recovery of serum laboratory indicators and clinical efficacy, which is worthy of clinical application and promotion.