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作 者:唐忠明[1] 邓中民[1] 朱德斌 TANG Zhongming;DENG Zhongmin;ZHU Debin(Department of Digestive Medicine,The First People's Hospital of Huzhou,Huzhou Zhejiang 313000,China)
机构地区:[1]湖州市第一人民医院消化内科,浙江湖州313000
出 处:《新中医》2024年第9期98-101,共4页New Chinese Medicine
摘 要:目的:观察消炎利胆片辅助急性结石性胆囊炎的临床效果。方法:以随机数字表法将86例行胆囊切除术治疗的急性结石性胆囊炎患者分为2组,每组43例。对照组行胆囊切除术治疗,观察组在胆囊切除术后给予消炎利胆片治疗。比较2组临床疗效、胃肠功能恢复时间及并发症发生率,比较2组治疗前后血清超敏C-反应蛋白(hs-CRP)、降钙素原(PCT)水平。结果:观察组总有效率95.35%,高于对照组81.40%(P<0.05)。与对照组比较,观察组术后排气、肠鸣音恢复、进食及排便时间更早(P<0.05)。治疗后,2组血清hs-CRP、PCT水平均降低(P<0.05),且观察组低于对照组(P<0.05)。观察组并发症发生率6.98%,低于对照组23.26%(P<0.05)。结论:对急性结石性胆囊炎行胆囊切除术患者给予消炎利胆片治疗,有利于改善术后胃肠功能,减轻机体炎症反应,减少术后并发症,进一步提高临床疗效。Objective:To observe the clinical effect of Xiaoyan Lidan Tablets in assisting acute calculous cholecystitis.Method:A total of 86 patients with acute calculous cholecystitis who underwent cholecystectomy were divided into two groups using a random number table method,with 43 cases in each group.The control group was treated with cholecystectomy,while the observation group was treated with Xiaoyan Lidan Tablets after cholecystectomy.T clinical efficacy,gastrointestinal function recovery time,and incidence of complications were compared between two groups,and the levels of serum highsensitivity C-reactive protein(hs-CRP)and procalcitonin(PCT)were compared before and after treatment between the two groups.Results:The total effective rate of the observation group was 95.35%,which was higher than 81.40%of the control group(P<0.05).Compared with the control group,the observation group had earlier postoperative ventilation,recovery of bowel sounds,eating and bowel movements(P<0.05).After treatment,the serum hs-CRP and PCT levels in both groups were decreased(P<0.05),and the hs-CRP and PCT levels in the observation group were lower than that in the control group(P<0.05).The incidence of complications in the observation group was 6.98%,which was lower than 23.26%of the control group(P<0.05).Conclusion:Treating patients with acute calculous cholecystitis undergoing cholecystectomy with Xiaoyan Lidan Tablets is beneficial for improving postoperative gastrointestinal function, reducing inflammatory reactions, reducing postoperative complications, and further enhancingclinical efficacy.
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