摘要
目的观察大柴胡汤辅助急性结石性胆囊炎患者腹腔镜胆囊切除术(LC)的应用效果。方法选取123例急性结石性胆囊炎患者,随机分为两组。两组均接受LC治疗,常规组61例采用常规治疗方案;联合组62例采用大柴胡汤辅助治疗。比较两组的证候积分、炎症细胞、胆囊结构参数改善情况,术后康复情况及并发症发生情况。结果治疗后,联合组的胁肋绞痛、身有寒热、溲黄便结等证候积分均低于常规组,差异有统计学意义(P<0.05);联合组的WBC、NE、ESR均低于常规组(P<0.05);联合组的胆囊长径、胆囊壁厚度、胆囊体积分均低于常规组(P<0.05);联合组的术后退热时间、肛门排气时间、下床活动时间、住院时间均短于常规组(P<0.05):联合组的术后并发症发生率8.06%,低于常规组的21.31%(P<0.05)。结论大柴胡汤辅助LC治疗急性结石性胆囊炎能有效改善患者的临床证候及炎症反应,对改善胆囊结构、加快康复进程、降低并发症发生风险等方面有显著效果。
Objective To observing the application effects of Dachaihu decoction in laparoscopic surgery(LC)in patients with acute calculous cholecystitis.Methods 123 patients with acute calculous cholecystitis were selected and randomly divided into 2 groups.Both groups of patients were received LC treatment.61 cases in the conventional group were receiving conventional treatment,while 62 cases in the combined group were treated with Dachaihu decoction as an adjuvant.The improvement of symptom scores,inflammatory cells,gallbladder structural parameters,postoperative recovery,and incidence of complications were compared between two groups of patients.Results After treatment,the scores of symptoms such as rib colic,cold and hot body,and yellow stool in the combination group were lower than those in the control group,showing a statistically significant difference(P<0.05).The WBC,NE and ESR of the combined group were lower than those of the conventional group(P<0.05).The gallbladder diameter,gallbladder wall thickness,and gallbladder volume fraction of the combined group were lower than those of the conventional group(P<0.05).The postoperative fever relief time,anal exhaust time,mobilization time,and hospitalization time of the combined group were all shorter than those of the conventional group(P<0.05).The postoperative complication rate of the combined group was 8.06%lower than 21.31%of the conventional group(P<0.05).Conclusion Dachaihu decoction assisted LC treatment for acute calculous cholecystitis effectively improves the clinical symptoms and inflammatory response of patients,improves gallbladder structure,accelerates recovery process,and reduces the risk of complications.
作者
李方喜
LI Fangxi(Department of Surgery,the Traditional Chinese Medicine Hospital of Xinyang,Xinyang 464000,China)
出处
《华夏医学》
CAS
2024年第4期156-161,共6页
Acta Medicinae Sinica
基金
河南省医学科技攻关项目(2019003761)。
关键词
急性结石性胆囊炎
腹腔镜手术
大柴胡汤
康复进程
术后并发症
acute calculous cholecystitis
laparoscopic surgery
Dachaihu decoction
rehabilitation process
postoperative complications
