行气活血利胆汤联合腹腔镜胆囊切除术治疗胆囊炎的临床效果观察

Effect observation of Xingqi Huoxue Lidan Decoction combined with laparoscopic cholecystectomy in the treatment of patients with cholecystitis

  • 摘要: 目的 观察中医行气活血利胆汤联合腹腔镜胆囊切除术治疗胆囊炎的临床效果。 方法 选取胆囊炎患者90例,随机分为手术组和联合组,每组45例。2组患者均行腹腔镜胆囊切除术,联合组术后第2天服用行气活血利胆汤治疗。比较2组患者的手术时间、手术出血量、首次肛门排气时间、住院时间。比较2组患者手术前、手术后72 h血清C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)水平。比较2组并发症发生率。 结果 2组患者的手术时间、手术出血量、首次肛门排气时间、住院时间比较,差异均无统计学意义(P>0.05)。术后72 h, 联合组患者血清CRP、TNF-α、IL-6、IL-10水平低于手术组患者,差异均有统计学意义(P<0.05)。联合组的并发症发生率为4.44%, 低于手术组的11.11%, 但差异无统计学意义(P>0.05)。 结论 行气活血利胆汤联合腹腔镜胆囊切除术治疗胆囊炎安全、有效,可减轻手术引起的炎症反应,促进患者术后康复。

     

    Abstract: Objective To observe the clinical effect of Xingqi Huoxue Lidan Decoction combined with laparoscopic cholecystectomy in the treatment of patients with cholecystitis. Methods Ninety patients with cholecystitis were selected and randomly divided into surgery group and combined group, with 45 cases in each group. Both groups were treated with laparoscopic cholecystectomy, and the combined group was treated with Xingqi Huoxue Lidan Decoction on the second day after operation. Operation time, the amount of bleeding, the time of the first anal exhaust and the length of hospital stay were compared between two groups. The levels of serum C-reactive protein(CRP), tumor necrosis factor-α(TNF-α), interleukin-6(IL-6), interleukin-10(IL-10)were compared between two groups before operation and 72 hours after operation. Incidence of complications was compared between two groups. Results There were no significant differences in operation time, the amount of bleeding, the time of the first anal exhaust and the length of hospital stay between the two groups(P>0.05). At 72 hours after operation, the levels of CRP, TNF-α, IL-6 and IL-10 in the combined group were significantly lower than those in the surgery group(P<0.05). The incidence of complications in the combined group was 4.44%, which was lower than 11.11% in the operation group, but there was no significant difference(P>0.05). Conclusion Xingqi Huoxue Lidan Decoction combined with laparoscopic cholecystectomy is effective and safe in the treatment of patients with cholecystitis, which can reduce the inflammatory reaction caused by operation and promote the postoperative recovery of patients.

     

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