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化石利胆汤对胆囊切除术后综合征患者的影响

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目的:探讨化石利胆汤对胆囊切除术后综合征患者的影响。方法:选取 2017 年 6 月—2019 年 6 月黄梅县人民医院 90 例胆囊切除术后综合征患者作为研究对象,按随机数表法将患者分为对照组和观察组,各 45 例。对照组采用常规治疗,观察组则在常规治疗的基础上加用化石利胆汤治疗,两组均治疗 1 周。比较两组胃肠功能、中医症候积分、血清胆囊收缩素A型受体(CCK-A)、血管活性肠肽(VIP)水平及并发症发生情况。结果:观察组首次排气排便时间、肠鸣音恢复时间、首次进食时间均明显短于对照组,差异有统计学意义(P<0。05);治疗后,两组症状、舌象、脉象积分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0。05);观察组治疗后 5 d、10 d血清CCK-A、VIP水平高于对照组,差异有统计学意义(P<0。05);观察组黄疸及并发症总发生率低于对照组,差异有统计学意义(P<0。05)。结论:胆囊切除术后综合征患者应用化石利胆汤有助于胃肠功能快速恢复,改善中医症候积分,促进血清CCK-A、VIP水平回升,降低黄疸及并发症总发生率。
Effect of Huashi Lidan Decoction on Patients with Postcholecystectomy Syndrome
Objective:To investigate the effect of Huashi Lidan Decoction on patients with cholecystectomy syndrome.Method:A total of 90 patients with postcholecystectomy syndrome who admitted to Huangmei People's Hospital from June 2017 to June 2019 were selected as the research objects,the patients were divided into the control group and the observation group according to the random number table method,with 45 cases in each group.The control group was treated with routine treatment,while the observation group was treated with Huashi Lidan Decoction on the basis of routine treatment,two groups were treated for 1 week.The gastrointestinal function,traditional Chinese medicine syndrome scores,serum cholecystokinin A receptor(CCK-A)and vasoactive intestinal peptide(VIP)levels and the incidence of complications of two groups were compared.Result:The first exhaust and defecation time,bowel sound recovery time and first eating time in the observation group were significantly shorter than those in the control group,the differences were statistically significant(P<0.05);after treatment,the scores of symptoms,tongue and pulse in two groups were lower than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05);the levels of serum CCK-A and VIP in the observation group at 5 d and 10 d after treatment were higher than those in the control group,and the differences were statistically significant(P<0.05);and the incidence of jaundice and complications in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of Huashi Lidan Decoction in patients with postcholecystectomy syndrome is helpful to the rapid recovery of gastrointestinal function,improve the traditional Chinese medicine symptom score,promote the recovery of serum CCK-A and VIP levels,and reduce the incidence of jaundice and complications.

Huashi Lidan DecoctionPostcholecystectomy syndromeCholelithiasisLaparoscopic cholecystectomy

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黄梅县人民医院 湖北 黄梅 435500

化石利胆汤 胆囊切除术后综合征 胆石症 腹腔镜胆囊切除术

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(3)
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