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保守药物与腹腔镜手术治疗胆结石的临床效果

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目的:比较保守药物与腹腔镜手术在胆结石患者中的应用效果。方法:选取 2021 年 10 月—2023 年 6 月仁怀市中医院收治的 80 例胆结石患者为研究对象,根据治疗方法不同分为对照组(保守药物治疗,n=30)和观察组(腹腔镜手术治疗,n=50)。比较两组治疗效果、肝功能指标、中医症候积分、生活质量评分。结果:观察组治疗总有效率(96。00%)高于对照组(83。33%),差异有统计学意义(P<0。05)。两组治疗前肝功能指标比较,差异无统计学意义(P>0。05);观察组治疗后白蛋白(albumin,ALB)、总蛋白(total protein,TP)较对照组高,而谷丙转氨酶(alanine aminotransferase,ALT)和总胆红素(total bilirubin,TBIL)较对照组低,差异有统计学意义(P<0。05)。两组治疗前中医症候积分比较,差异无统计学意义(P>0。05);观察组治疗后恶心呕吐、上腹痛、嗳气和食欲不振较对照组低,差异有统计学意义(P<0。05)。两组治疗前生活质量比较,差异无统计学意义(P>0。05);观察组治疗后物质生活、心理功能、躯体功能及社会功能评分高于对照组,差异有统计学意义(P<0。05)。结论:腹腔镜手术在胆结石患者中的应用效果较保守药物优,不仅可以提高治疗效果,改善肝功能指标,降低中医症候积分,提高生活质量。
Clinical Effect of Conservative Drugs and Laparoscopic Surgery in the Treatment of Gallstones
Objective:To compare the application effect of conservative drugs and laparoscopic surgery in the treatment of gallstones.Method:A total of 80 patients with gallstones who admitted to Renhuai City Hospital of Traditional Chinese Medicine from October 2021 to June 2023 were selected as the research objects,they were divided into the control group(conservative drug treatment,n=30)and the observation group(laparoscopic surgery,n=50)according to different treatment methods.The therapeutic effect,liver function indexes,traditional Chinese medicine symptom score and quality of life score were compared between two groups.Result:The total effective rate of the observation group(96.00%)was higher than that of the control group(83.33%),the difference was statistically significant(P<0.05).There were no significant differences in the liver function indexes between two groups before treatment(P>0.05);the albumin(ALB)and total protein(TP)in the observation group after treatment were higher than those in the control group,while alanine aminotransferase(ALT)and total bilirubin(TBIL)were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in traditional Chinese medicine symptom scores between two groups before treatment(P>0.05);the nausea and vomiting,upper abdominal pain,belching and loss of appetite in the observation group were after treatment lower than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in quality of life scores between two groups before treatment(P>0.05);the scores of material life,psychological function,physical function and social function in the observation group after treatment were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application effect of laparoscopic surgery in patients with gallstones is better than that of conservative drugs,it can not only improve the treatment effect,improve the liver function indexes,reduce the traditional Chinese medicine symptom score and improve the quality of life.

Laparoscopic surgeryConservative drugsGallstones

丁鹏

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仁怀市中医院 贵州 仁怀 564500

腹腔镜手术 保守药物 胆结石

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(12)
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