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目的:探讨临床上使用疏肝利胆汤联合腹腔镜方法治疗急性结石性胆囊炎的实际效果。方法:我们对2015年5月-2016年5月期间来我院就诊治疗的80例急性结石性胆囊炎患者的临床资料进行回顾性研究。我们按照随机分配的原则将这80例患者分为观察组和对照组,并保持这两组患者的数量一致,各有40例。我们对对照组患者采用常规西医腹腔镜手术治疗,对观察组患者在对照组治疗方式的基础上加用疏肝利胆汤进行治疗,之后对比观察这两组患者的治疗效果。结果:经过治疗和观察对比,我们发现观察组患者的整体治疗有效率明显要高于对照组患者,二者相比差异显著(p<0.05),具有统计学意义;观察组患者的疼痛、发热以及呕吐等不良反应的缓解时间明显要少于对照组患者不良反应的缓解时间,二者相比差异显著(p<0.05),具有统计学意义。结论:临床上使用疏肝利胆汤联合腹腔镜方法治疗急性结石性胆囊炎的实际效果显著,且患者不会发生明显的不良反应,此联合应用的方法值得在临床上进一步推广应用。
Objective: To investigate the clinical effect of Shugan Lidan combined with laparoscopy in the treatment of acute calculous cholecystitis. METHODS: We retrospectively reviewed the clinical data of 80 patients with acute calcific cholecystitis treated in our hospital from May 2015 to May 2016. We divided the 80 patients into observation and control groups on a randomized basis and maintained the same number of patients in both groups, 40 in each. We used routine western medicine laparoscopic surgery for patients in the control group, and treated with Shugansiliyantang on the basis of the treatment of the control group, and then compared the therapeutic effect of these two groups of patients. Results: After treatment and observation, we found that the overall treatment effective rate in the observation group was significantly higher than that in the control group, the difference was significant (p <0.05), with statistical significance; the patients in the observation group had pain and fever And vomiting and other adverse reactions significantly less time to relieve adverse reactions than in patients with control, the difference was significant (p <0.05), with statistical significance. Conclusion: The clinical effect of Shugan Litan Decoction combined with laparoscopy in the treatment of acute calcific cholecystitis is significant, and the patients do not have any obvious adverse reactions. Therefore, the combined method deserves further popularization and application in clinic.