中西医结合治疗老年胆囊炎胆石症的疗效观察  

Observing the Effect of Cholelithiasis in aged Treated with Integrated Traditional and western Medicine

作　　者：王荣茂[1] 吴建荣[1] 

机构地区：[1]河北省复员军人医院,河北邢台054000

出　　处：《河北医学》2007年第12期1279-1281,共3页Hebei Medicine

摘　　要：目的：观察自拟疏肝利胆汤对老年胆囊炎胆石症手术效果的影响。方法：将186例老年胆囊炎胆石症患者随机分为对照组100例和治疗组86例，对照组采用急诊手术，治疗组采用自拟中药疏肝利胆汤（金钱草、黄芩、柴胡、枳壳、延胡索、川芎、郁金、半夏、赤白芍、生地、金银花、生姜、大枣）口服同时给予头孢噻肟静点7-10d后进行择期手术。结果：总治愈率治疗组82．0％，对照组58．1％：术后并发症治疗组7．0％，对照组21．0％，死亡率治疗组1．0％，对照组6．97％。经统计学处理差异有显著性（P〈0．01）。结论：经中西医结合治疗老年胆囊炎胆石症待病情控制后再采用手术治疗，能明显提高治愈率、减少术后并发症、降低死亡率。值得临床推广。Objective： To investigate the surgery effect of self-made soothing liver and relieving bladder soup on cholecystitis and cholelithiasis in aged patients. Method：186 aged patients with cholecystitis and eholelithiasis were randomly divided into two groups： treatment group （ n = 100 ） underwent emergeneysurgery and control group underwent selective operation. After combined self - made soothing liver and relieving bladder soup with intravenous cefotaxime sodium for 7 - 10days. Result： The total cure rate of treatment group and control group was 82% and 58.1% respectively , operative complications of treatment and control group was 7.0% and 21.0% respectively, death rate of treatment and control group was 1.0% and 6.97%i respectively, There was significant different between two groups. Conclusion： The aged patients accepted surgery after given integrated traditional and western medicine and whose disease controlled, cansignificantly improve cure rate, reduce operative complication, this method deserve clinical expansion.

关 键 词：老年胆囊炎胆石症 自拟疏肝利胆汤 手术治疗 

分 类 号：R657.41[医药卫生—外科学]