大柴胡汤结合胆维他胶囊治疗肝胆湿热型慢性胆囊炎60例疗效观察

发布时间：2018-04-27 01:28

本文选题：大柴胡汤 + 胆维他胶囊　；参考：《辽宁中医药大学》2014年硕士论文

【摘要】：目的：通过对肝胆湿热型慢性胆囊炎理论的认识和临床的实践技能，运用大柴胡汤结合胆维他胶囊方法与单纯运用胆维他胶囊治疗慢性胆囊炎临床疗效的观察，为提高其作用，提供理论依据。材料与方法：所选所有的60位病例均来自辽宁中医药大学附属医院(辽宁省中医院)普外科门诊2012年03月到2014年03月的辨证为肝胆湿热型的慢性胆囊炎患者，分成治疗组30例，对照组30例，对照组常规口服胆维他胶囊，每次1粒（25mg），每日三次口服，加上必要的休息治疗。治疗组在口服胆维他胶囊基础上加用大柴胡汤加减治疗，以此来评估大柴胡汤结合胆维他胶囊对于肝胆湿热型慢性胆囊炎的治疗作用及疗效观察。结果：评定结果采用分组对比，治疗组总有效率为90%，对照组总有效率为73.3%，两组有显著差异（p0.05）。运用大柴胡汤结合胆维他胶囊治疗肝胆湿热型慢性胆囊炎，结果表示优于单纯运用胆维他胶囊治疗。结论：大柴胡汤具有和解少阳，解郁行气，内泄热解的作用，经过辩证施治基础上经过加减在治疗上能够在一定程度缓解肝胆湿热型慢性胆囊炎的临床症状，，证明有较好的治疗效果，疗效满意。
[Abstract]:Objective: to observe the clinical effect of Dachaihu decoction combined with Danwei capsule method on chronic cholecystitis with damp-heat liver and gallbladder dampness heat type, so as to improve the effect of Dachaihu decoction on chronic cholecystitis. To provide theoretical basis. Materials and methods: all 60 cases of chronic cholecystitis with liver and gallbladder dampness heat type were selected from general surgery outpatient department of Liaoning University of traditional Chinese Medicine (Liaoning traditional Chinese Medicine Hospital) from March 2012 to March 2014, and were divided into treatment group (30 cases). In the control group, 30 cases were treated by routine oral administration of Danweitar capsule, 1 tablet of 25 mg / time, three times a day, plus necessary rest therapy. The treatment group was treated with Dachaihu decoction on the basis of oral Danwei capsule to evaluate the therapeutic effect and curative effect of Dachaihu decoction combined with Danwei capsule on chronic cholecystitis of damp-heat type of liver and gallbladder. Results: The total effective rate was 90 in the treatment group and 73.3 in the control group. There was a significant difference between the two groups (P 0.05). The treatment of chronic cholecystitis of damp-heat type of liver and gallbladder with Dachaihu decoction combined with Danwei capsule was better than that of using Danwei capsule alone. Conclusion: Dachaihu decoction has the effect of reconciling Shaoyang, relieving depression and regulating qi, and releasing heat from inside. On the basis of dialectical treatment, it can alleviate the clinical symptoms of chronic cholecystitis of damp-heat type of liver and gallbladder on the basis of dialectical treatment, and prove that it has better therapeutic effect. The curative effect is satisfactory.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R575.61

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