三镜联合茵陈蒿汤治疗梗阻性黄疸80例  

Treatment for 80 Cases of Obstructive Jaundice with YinChenHaoTang and Three Kinds of Endoscopes

作　　者：巫资明[1] 李初谊[2] 

机构地区：[1]甘肃省中医院,甘肃兰州730050 [2]甘肃中医学院

出　　处：《西部中医药》2013年第8期94-95,共2页Western Journal of Traditional Chinese Medicine

摘　　要：目的:观察三镜联合茵陈蒿汤治疗梗阻性黄疸的临床疗效。方法:将170例梗阻性黄疸患者随机分为观察组、对照组各85例。2组行腹腔镜、十二指肠镜、纤维胆道镜联合治疗,观察组在此基础上于术后加用茵陈蒿汤,1剂/d。观察2组手术成功率、手术持续时间、术后卧床时间、肛门排气时间以及残端出血、切口感染、肠梗阻等并发症发生情况。结果:2组患者均顺利完成手术,手术成功率均高达100.00%。手术时间、下床时间、肛门排气时间、住院时间等方面2组相比差异显著(P<0.05)。观察组并发症发生率为9.41%,对照组为36.47%。2组相比差异显著(P<0.05)。结论:三镜联合茵陈蒿汤治疗梗阻性黄疸具有创伤小、退黄快、预后好、住院时间短、并发症少等优点。Objective： To observe curative effects of YinChenHaoTang and three kinds of endoscopes in the treatment for obstructive jaundice.Method： All 170 patients were randomized into the observation group and the control group.Both groups accepted the treatment with laparoscope,duodenoscope and choledochoscope,the observation group took YinChenHaoTang after the surgery,one dose per day.Surgical success rate,surgery duration time,bed rest time after surgery,anal exhaust time,stump bleeding the incidence of complications such as incision inflammation and intestinal obstruction were observed.Result： The patients of both groups were performed the surgery successfully,surgical success rate was 100.00%.The comparisons between both groups showed significant difference in surgery time,exercise time,anal exhaust time,hospitalization time and others（P〈0.05）.Complication incidence of the observation group was 9.41%,lower than 36.47%,the difference between both groups was remarkable（P〈0.05）.Conclusion： Three kinds of endoscopes and YinChenHaoTang are effective in treating obstructive jaundice with the advantages of minor trauma,rapid recovery,good prognosis,short hospitalization time,fewer complications and others.

关 键 词：黄疸 梗阻性 腹腔镜 十二指肠镜 纤维胆道镜 茵陈蒿汤 

分 类 号：R2-031[医药卫生—中西医结合]