首页|小剂量胆宁片保护腹腔镜联合胆道镜保胆取石术(LRCL)后胆囊功能机制分析

小剂量胆宁片保护腹腔镜联合胆道镜保胆取石术(LRCL)后胆囊功能机制分析

扫码查看
目的 探讨小剂量胆宁片在腹腔镜联合胆道保胆取石术(laparoscopic combined choledochoscopy lithotripsy,LRCL)后对胆囊功能影响。方法 将 108 例接受LRCL的胆囊结石患者随机分为两组,每组 54 例,分别接受小剂量胆宁片治疗(观察组)和安慰剂治疗(对照组)。治疗 3 个月后检测患者血清中一氧化氮(NO)、丙二醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽(GSH)的变化,第 12 个月和第 24 个月检测胆囊功能包括胆囊结石复发率、胆囊收缩率、胆囊壁厚度和血浆胆囊收缩素(cholecystokinin,CCK)水平。结果 治疗后 3 个月,观察组MDA的表达量低于对照组,SOD、GSH的表达量高于对照组,NO则没有差异;术前、术后第12 个月和第24 个月胆囊功能情况,观察组第 12 个月与 24 个月的胆囊收缩率和CCK的水平大于对照组(P<0。05),胆囊壁厚度都小于对照组(P<0。05),胆结石复发率低于对照组。结论 在患者进行LRCL后,经过口服小剂量的胆宁片治疗,可降低术后机体的氧化应激水平,胆囊的功能和结石的复发率都有改善,能够在术后预防胆囊结石的复发,提高患者术后健康指数。
Low-dose Danning Tablets protect gallbladder function after laparoscopic combined choledochoscopy lithotripsy by reducing oxidative stress in the body
Objective The purpose of this study is to examine the influence of low-dose Danning Tablets on gallbladder functionality post laparoscopic combined choledochoscopy lithotripsy(LRCL).Methods A total of 108 participants with gallbladder stones who underwent LRCL were randomly allocated into two groups,with 54 participants in each group.The observation group received treatment with low-dose Danning Tablets,while the control group received a placebo.Changes in serum levels of NO,MDA,SOD,and GSH were assessed after 3 months of treatment,and gallbladder function indicators,including stone recurrence rate,gallbladder contraction rate,gallbladder wall thickness,and plasma cholecystokinin(CCK)levels,were measured at the 12th and 24th months.Results After 3 months of treatment,the observation group exhibited significantly lower levels of MDA compared to the control group,while demonstrating significantly higher levels of SOD and GSH(P<0.05).However,there were no significant differences in NO levels between the two groups.At the 12th and 24th months,the observation group displayed significantly higher gallbladder contraction rates and CCK levels compared to the control group(P<0.05).In addition,the gallbladder wall thickness of the observation group was significantly lower than that of the control group(P<0.05).Furthermore,the recurrence rate of gallbladder stones was significantly lower in the observation group than in the control group.Conclusion In conclusion,oral administration of low-dose Danning Tablets post LRCL can effectively diminish postoperative oxidative stress levels and significantly enhance gallbladder function,thereby reducing the recurrence rate of gallbladder stones.It serves as an effective preventive measure for gallbladder stone recurrence and promotes improved postoperative health indices among patients.

Danning TabletsGallbladder preserving lithotomyGallbladder calculusCCKOxidative stress

王京京、史柱

展开 >

保定市第二医院肝胆外科,河北 保定 071000

胆宁片 保胆取石术 胆囊结石 胆囊收缩素 氧化应激

2020年度河北省医学科学研究课题

202000264

2024

药学研究
山东省药品检验所 山东省药学会

药学研究

CSTPCD
影响因子:0.653
ISSN:2095-5375
年,卷(期):2024.43(8)