ERCP取石术联合疏肝利胆汤及电针阳陵泉治疗胆总管结石的临床价值研究  

ERCP Nephrolithotomy Combined Shugan Lidan Decoction and Electroacupuncture at Yanglingquan( GB34) in Treatment of Common Bile Duct Calculi

作　　者：张勇[1] 贾业贵[1] 肖丹[1] ZHANG Yong;JiA Yegui;XIAO Dan(Department of Gastroenterology, The Sixth Hospital of Wuhan, Wuhan 430000, Hubei, Chin)

机构地区：[1]武汉市第六医院消化内科

出　　处：《中华中医药学刊》2018年第2期509-512,共4页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的：探究ERCP（经内镜逆行性胰胆管造影术）取石术联合疏肝利胆汤及电针阳陵泉治疗胆总管结石的临床价值。方法：选取医院2015年1月—2016年7月收治的110例胆总管结石患者作为研究对象,采取随机数字表法将所有患者分为研究组（55例）与对照组（55例）,对照组实施ERCP取石术治疗,研究组在对照组手术治疗基础上联合疏肝利胆汤及电针阳陵泉治疗,对比两组患者术后排气时间及住院时间、术后并发症情况、术前及术后7 d患者中医症状积分、术后两组患者血清胆汁生化指标、术后1、3、5、7 d患者胆汁引流量,随访6个月,观察两组患者结石残留及复发情况。结果：（1）研究组患者术后排气及住院时间均短于对照组;（2）研究组术后并发症率为1.82%,低于对照组14.55%,P〈0.05,差异具有统计学意义;（3）两组术前中医症状积分相当,P〉0.05,差异无统计学意义;术后7 d研究组患者积分优于对照组,P〈0.05,差异具有统计学意义;（4）研究组患者术后血清胆汁生化指标水平均优于对照组,P〈0.05,差异具有统计学意义;（5）研究组术后1、3、5、7 d胆汁引流量均少于对照组,P〈0.05,差异具有统计学意义;（6）随访6个月发现,研究组结石残留率为1.82%,低于对照组12.73%,P〈0.05,两组均未见结石复发,P〉0.05。结论：ERCP取石术联合疏肝利胆汤及电针阳陵泉治疗胆总管结石疗效显著,患者恢复好,术后并发症少、结石残留率低、复发率低,安全性高,具有极高临床应用及推广价值。Objective：To study the clinical value of ERCP lithotomy （endoscopic retrograde cholangiopancreatography） combined Shugan Lidan Decoction and eletroacupuncture at Yanglingquan （ GB34 ） in treatment of common bile duct stones. Methods： In our hospital from January 2015 to July 2016, 110 cases of common bile duct calculi patients as the research object, by a random number table method were divided into research group （55 cases） and control group （55 cases）. The control group used ERCP for the treatment of lithotomy and the treatment group on the basis combined Shu- gan Lidan Decoction and eletroacupuncture at Yanglingquan （GB34）. We compared two groups＇ postoperative exhaust time and hospital stay, postoperative complications, preoperative and 7 d postoperative TCM symptoms integral, two groups＇ postoperative serum bile biochemistry index, bile flow 1, 3, 5, 7 d after operation. The followed up was 6 months and we observed two groups＇ calculi residue and recurrence. Results ： （ 1 ） The research group patients postopera- tive exhaust time and length of hospital stay were shorter than those of the control group. （2） The research group＇ s post- operative complication rate was 1.82%, lower than 14.55% of the control group, P 〈 0. 05. The difference was statisti- cally significant. （ 3 ） Two groups＇ preoperative TCM symptom integral had no difference, P 〉 0. 05. 7 d after operation, the research group＇ s integral was better than that of control group, P 〈 0. 05 and the difference was statistically signifi- cant. （4）The research group＇ s level of serum bile biochemistry index after surgery was superior to those of the control group, P 〈 0. 05 and the difference was statistically significant. （5） The research group＇ s bile flow 1, 3, 5, 7 d after surgery was less than those of the control group, P 〈 0. 05 and the difference was statistically significant. （6） After 6 months followed up, the research group＇ s calculi residual rate was 1.82% , lower

关 键 词：胆总管结石 ERCP取石术 疏肝利胆汤 电针阳陵泉 

分 类 号：P575.62[天文地球—矿物学]