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[目的]观察疏肝利胆汤治疗慢性胆囊炎疗效。[方法]使用随机平行对照方法,将120例住院及门诊患者按抛硬币法简单随机分为两组。对照组60例10m L 50%硫磺镁,1次/d,口服;头抱挫林钠+250m L 4%生理盐水,1次/d,静滴;甲硝唑,200m L/次,1次/d,静滴。治疗组60例疏肝利胆汤(柴胡、枳壳、赤芍、木香、黄芪、鸡内金、郁金、川厚朴、山楂各10g,生甘草8g,黄连6g,熟大黄8g;胁痛严重加元胡10g;蛔虫加使君子10g,川谏子、槟榔各6g;胁痛、肠鸣腹泻减枳实,加白术、获菩各10g;恶心、呕吐加竹茹10g;苔厚腻夹湿加苍术6g、陈皮、获菩各10g),1剂/d,水煎200m L,早晚温服。连续治疗15d为1疗程。观测临床症状、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组痊愈50例,有效9例,无效1例,总有效率98.33%。对照组痊愈40例,有效10例,无效10例,总有效率83.33%。治疗组疗效优于对照组(P<0.01)。[结论]疏肝利胆汤治疗慢性胆囊炎疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of Shugan Lidan decoction on chronic cholecystitis. [Methods] Using randomized parallel control method, 120 inpatients and outpatients were randomly divided into two groups according to the coin tossing method. The control group of 60 cases of 10m L 50% sulfur magnesium, 1 / d, oral; humeralfamide sodium + 250m L 4% saline, 1 / d, intravenous; metronidazole, 200m L / times, 1 / d, intravenous infusion. The treatment group, 60 cases of Shugan Lidan soup (Bupleurum, Citrus aurantium, red peony root, woody, Astragalus, Chikin gold, turmeric, Chuan Magnolia, hawthorn each 10g, raw licorice 8g, berberine 6g, ripe rhubarb 8g; Severe pain and Canadian dollar Hu 10g; roundworm plus Gentleman 10g, Sichuan remonstrance, areca 6g; hypoglycemic, bowel diarrhea minus Citrus aurantium, plus Atractylodes, was Bodhi each 10g; nausea, vomiting and Zhuru 10g; Greasy folder plus wet herb 6g, dried tangerine peel, each Bodhi 10g), 1 / d, decoction 200m L, morning and evening warm clothes. Continuous treatment 15d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Results] The treatment group cured 50 cases, effective in 9 cases, 1 case, the total effective rate was 98.33%. Control group, 40 cases were cured, effective in 10 cases, ineffective in 10 cases, the total effective rate was 83.33%. The treatment group than the control group (P <0.01). [Conclusion] Shugan Lidan decoction is effective in treating chronic cholecystitis with no serious side effects and is worth promoting.