Objective:To explore the effect of gallbladder puncture and drainage 60 clear liver bile in elderly patients with severe acute cholecystitis.Methods:elderly patients with severe acute cholecystitis admitted were grouped by random numbers.The control group(30 patients)were treated with ultrasound-guided percutaneous catheterization(PTGBD)by transliver and gallbladder puncture,and PTGBD+clear liver and gallbladder therapy in the patients(30 patients).Changes in relevant serum indicators,inflammatory factors,clinical symptoms and signs,and overall efficacy were observed.Result:After the treatment,The levels of WBC,ALT and GGT were significantly lower compared with the pre-treatment and control groups,The difference was statistically significant(P<0.05);The levels of CRP,IL-6 and TNF-αin the treatment group were lower than before treatment,Also lower than that in the control group,The difference was statistically significant(P<0.05);post-treatment,The various TCM syndrome scores in the treatment group were lower compared with the control group,The difference was statistically significant(P<0.05);The total clinical response rate of the two groups was 73.33％ and 90.00％,respectively,Overall response rate was significantly higher in the treatment group,The difference was statistically significant(P<0.05).Conclusion:PTGBD+combined traditional Chinese and western medicine for severe acute cholecystitis patients can improve the relevant serum indexes and inflammatory factors,improve the improvement effect of clinical symptoms and signs,and obtain a more ideal overall effect.
关键词
急性胆囊炎/重症/高龄/经皮经肝胆囊穿刺置管引流术/清肝利胆法
Key words
acute cholecystitis/severe/advanced age/percutaneous transliver gallbladder puncture and drainage/clear liver and gallbladder method
维普
万方数据