中西醫結合治療急性梗阻性化膿性膽道炎50例臨床分析

[摘要] 目的 對中西醫結合治療急性梗阻性化膿性膽管炎的臨床療效進行分析和探討。方法 隨機選擇該院從2012年6月—2016年6月收治的50例急性梗阻性化膿性膽管炎的患者作為研究對象，隨機將這些患者劃分為對照組和觀察組，每組患者25例。采用單純西醫治療的方式對對照組患者進行治療，采用中西醫結合治療的方式的方式對觀察組患者進行治療。1個療程為7 d。在經過2個療程的治療之后對兩組患者的臨床表現及手術率進行分析和比較。 結果 在經過精心的治療之后，兩組患者的治療效果均比較好，達到了100.0%的有效率。其中對照組患者中共計有8例治愈，7例顯效，10例有效；觀察組患者中共計有11例治愈，8例顯效，6例有效。在具體的臨床療效方面兩組患者相比差異無統計學意義（P>0.05）。對照組的黃疸、腹痛、體溫等指標的評分和平均住院時間為（9.6±2.9）分、（6.1±2.6）分、（5.8±2.9）分、（12.2±2.8）d，觀察組的黃疸、腹痛、體溫等指標的評分和平均住院時間為（6.4±1.5）分、（4.4±1.1）分、（4.1±1.2）分、（8.8±2.3）d。與對照組患者相比，觀察組在癥狀改善程度、平均住院時間等方面均具有更好的效果，兩組患者相比差異有統計學意義（P<0.05）。結論 采用中西醫結合的方式對急性梗阻性化膿性膽管炎進行治療能夠使患者的癥狀和體征得到明顯的改善，加快患者的肝功能恢復，值得在臨床上推廣和應用。

[關鍵詞] 中西醫結合；治療；急性梗阻性化膿性膽管炎

[中圖分類號] R76 R24 [文獻標識碼] A [文章編號] 1674-0742（2016）12（b）-0169-03

Clinical Analysis of 50 Cases of Acute Obstructive Suppurative Cholangitis Treated with Integrated Traditional Chinese and Western Medicine

GUAN Guo-qing，CHEN Hai-yan， HUANG Cheng-cong，HUANG Qi-shan，KE Yong-guo

Yellow Qishan Surgery Hanjiang District， the City of Putian Overseas Chinese Hospital of Fujian Province，Putian，Fujian Province，351117 China

[Abstract] Objective Combination of TCM and Western medicine clinical curative effect of the treatment of acute obstructive suppurative cholangitis were analyzed and discussed.Methods Random choose from cholangitis in 50 cases of acute obstructive suppurative patients admitted from June 2012 to June 2016 as the research object， randomly divided the patients into control group and observation group， each group of patients with 25 cases. The control group were treated with simple western medicine treatment， and the observation group was treated with the method of combination of traditional Chinese medicine and Western medicine. A course of treatment for 7 days. After two courses of treatment， the clinical manifestations and operation rate of the two groups were analyzed and compared. Results After careful treatment， the treatment effect of the two groups of patients were relatively good， reaching 100.0% of the effective. Among the control group， 8 cases were cured， 7 cases were markedly effective， 10 cases were effective， 11 cases were cured， 8 cases were markedly effective， 6 cases were effective. In the specific clinical efficacy of the two groups of patients compared to the difference was not significant（P > 0.05）. The control group of jaundice， abdominal pain， temperature and other indicators of the score and the average hospitalization time was （9.6±2.9）points， （6.1±2.6）points， （5.8±2.9）points，（12.2±2.8） d， the observation group of jaundice， abdominal pain， temperature and other indicators of the score and the average hospitalization time was （6.4±1.5）points， （4.4±1.1）points，（4.1±1.2）points，（8.8±2.3）d. Compared with the control group， the observation group had better effect in the improvement of symptoms and the average length of stay， and the difference was significant between the two groups （P < 0.05）. Conclusion The combination of Chinese and Western medicine treatment can make the patient's symptoms and signs improved significantly in patients with acute obstructive suppurative cholangitis， accelerate the recovery of liver function of patients， is worthy of clinical popularization and application.

[Key words] Combination of traditional Chinese and Western medicine； Treatment； Acute obstructive suppurative cholangitis

作為一種常見的外科急腹癥，急性梗阻性化膿性膽管炎的主要表現就是腹痛、腹脹、高熱寒戰、面目發黃、食欲不振、惡心欲嘔等。……