摘要
目的观察大柴胡汤联合四金汤治疗肝胆湿热型胆总管结石临床疗效。方法选择来自徐州市中医药消化内科住院胆总管结石患者60例,随机分为治疗组和对照组,各30例。对照组给予常规治疗,治疗组在对照组的基础上加服中药大柴胡汤合四金汤,于第6天行CT、磁共振或彩超超检查,统计胆总管结石排出率,观察患者临床症状、体征好转或消失情况。结果治疗组胆总管结石排出率为46.67%,皮肤巩膜黄染28例均好转,23例发热消失,胆源性胰腺炎均消失;对照组胆总管结石排出率为13.33%,皮肤巩膜黄染改善13例,发热消失者9例,胰腺炎好转者2例,组间比较,差异具有统计学意义(P<0.05)。结论大柴胡汤联合四金汤治疗肝胆湿热型胆总管结石,具有促进结石排出,促进胆汁排泄,改善临床症状的效果。
Objective To observe the clinical efficacy of Dachaihu Decoction combined with Sijin Decoction in the treatment of hepatic gallbladder damp-heat choledocholithiasis. Methods 60 patients from the Department of Gastroenterology,Xuzhou Traditional Chinese Medicine, were randomly divided into the treatment group and the control group, 30 cases each. The control group received routine treatment. The treatment group was given the Chinese medicine Dachaihu Decoction and Sijin Decoction on the basis of the control group. On the 6th day, CT, MRI or color Doppler ultrasonography was performed to count the discharge rate of common bile duct stones, and the clinical symptoms and signs were improved. Or disappeared. Results In the treatment group, the discharge rate of common bile duct stones was 46.67%, 28 cases of skin sclera yellow staining were improved, 23 cases of fever disappeared, and biliary pancreatitis disappeared. The control group of common bile duct stones was 13.33%, and the skin sclera yellow staining improved. In 13 cases, 9 cases of fever disappeared and 2 cases of pancreatitis improved,the difference between the groups was statistically significant (P<0.05). Conclusion Dachaihu Decoction combined with Sijin Decoction for the treatment of hepatobiliary damp-heat choledocholithiasis has the effect of promoting stone discharge, promoting bile excretion and improving clinical symptoms.
作者
铉力
王晓红
胡兵
XUAN Li;WANG Xiao-hong;HU Bing(Department of Gastroenterology,Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou 221000,Jiangsu,China)
出处
《医学信息》
2019年第7期166-167,共2页
Journal of Medical Information
关键词
胆总管结石
中药排石
大柴胡汤
四金汤
Choledocholithiasis
Chinese medicine row stone
Dachaihu soup
Sijin Decoction
