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目的:评价青霉素与益气养阴汤联用对胆总管结石伴胆道感染患者的使用价值。方法:选取2009年2月—2013年3月期间诊治的胆总管结石伴胆道感染患者74例,依据随机分配原则将其分为联用组(n=37)和激光组(n=37),两组患者均予常规青霉素抗胆道感染等综合治疗,在此基础上,激光组患者给予单纯激光碎石术治疗,而联用组患者在激光碎石术治疗后给予益气养阴汤治疗,对比分析两组患者下床活动、住院、首次排气时间和总有效率。结果:联用组患者经治疗后患者下床活动、住院、首次排气时间均明显短于激光组(P<0.05),总效率明显高于激光组(P<0.05)。结论:联用组经激光碎石术治疗可有效改善胆总管结石伴胆道感染,提高了疗效,缩短患者下床活动,其住院、首次排气时间明显缩短。
Objective: To evaluate the value of penicillin and Yiqi Yangyin Decoction in the treatment of common bile duct stones with biliary tract infection. Methods: Totally 74 patients with choledocholithiasis and biliary tract infection diagnosed and treated during the period from February 2009 to March 2013 were divided into the combined group (n = 37) and the laser group (n = 37) according to the principle of random distribution. Both groups were given conventional penicillin anti-biliary tract infection and other comprehensive treatment, on this basis, the laser group was treated with laser lithotripsy alone, while the combined group of patients treated with laser lithotripsy Yiqi Yangyin Tang treatment, Comparing the two groups of patients to get out of bed, hospitalization, the first time of exhaust and the total effective rate. Results: After treatment, the outpatient activities, hospitalization, and first-time evacuation time were significantly shorter in the combined group than those in the laser group (P <0.05). The total efficiency was significantly higher than that in the laser group (P <0.05). Conclusion: Laser lithotripsy in combination group can effectively improve the common bile duct stones with biliary tract infection, improve the curative effect and shorten the patients getting out of bed. Their hospitalization and the first evacuation time are obviously shortened.