超声引导下经PTGD急性化脓性胆囊炎中医汤剂联合西医基础治疗的应用

发布时间：2018-06-14 14:28

本文选题：经皮经肝胆囊穿刺引流术 + 急性化脓性胆囊炎　；参考：《辽宁中医杂志》2017年03期

【摘要】：目的:分析超声引导下经皮经肝胆囊穿刺引流术(PTGD)急性化脓性胆囊炎中医汤剂联合西医基础治疗在临床应用的效果以及临床采用中西医联合治疗的可行性。方法:将2014年1月—2015年12月期间在本院接受治疗的120例急性化脓性胆囊炎患者纳入研究。随机将研究对象分均为对照组和观察组。对照组接受超声引导下经皮经肝胆囊穿刺引流术治疗;研究组在对照组的基础上使用中药汤剂进行联合治疗。对两组的疗效以及临床症状改善时间和住院时间进行记录、统计和分析。结果:观察组的总有效率为86.6%显著高于对照组的77.7%;且与对照组相比,观察组的治愈率也显著升高,两组在缓解率和治愈率方面的比较差异有显著统计学意义。中西医联合用药能快速缓解急性化脓性胆囊炎患者腹痛、发热、恶心呕吐等临床症状,同时也能显著缩短患者的住院时间。结论:在超声引导下经皮经肝胆囊穿刺引流术(PTGD)急性化脓性胆囊炎行西医手术的治疗基础上,采用中西医结合疗法治疗急性化脓性胆囊炎,疗效显著,具有临床应用价值。
[Abstract]:Objective: to analyze the clinical effect of percutaneous transhepatic cholecystitis (PTGD) combined with western medicine combined with traditional Chinese medicine (TCM) and western medicine (WM) under the guidance of ultrasound. Methods: 120 patients with acute suppurative cholecystitis treated in our hospital from January 2014 to December 2015 were included in the study. The subjects were randomly divided into control group and observation group. The control group was treated by percutaneous transhepatic cholecystectomy under the guidance of ultrasound, and the study group was treated with traditional Chinese medicine decoction on the basis of the control group. The curative effect, clinical symptom improvement time and hospitalization time of the two groups were recorded, counted and analyzed. Results: the total effective rate of the observation group was 86.6%, which was significantly higher than that of the control group (77.7%), and the cure rate of the observation group was significantly higher than that of the control group, and the difference between the two groups in the remission rate and cure rate was statistically significant. The combination of traditional Chinese and western medicine can relieve the clinical symptoms of acute suppurative cholecystitis, such as abdominal pain, fever, nausea and vomiting, and shorten the hospital stay. Conclusion: based on the treatment of acute suppurative cholecystitis by percutaneous transhepatic cholecystectomy (PTGD) under the guidance of ultrasound, the treatment of acute suppurative cholecystitis with combination of traditional Chinese and western medicine is effective and has clinical application value.
【作者单位】：天津市宝坻区人民医院普通外科;
【基金】：天津市卫生局科技基金项目(2013KZ106)
【分类号】：R657.41

【参考文献】