利胆排石汤联合西药常规治疗胆石症30例

目的:观察利胆排石汤联合头孢地嗪、熊去氧胆酸片治疗胆石症的临床疗效.方法:将符合病例入选标准的60例胆石症患者随机分为观察组、对照组各30例.两组均给予头孢地嗪1.5 g+250 mL生理盐水,gtt,bid,熊去氧胆酸片,150mg,口服,bid.观察组在此基础上加用利胆排石汤,水煎分服,1剂/d.两组均以5d为1个疗程,每治疗1个疗程休息2d,治疗4个疗程后观察疗效.结果:痊愈率观察组73.33％,对照组50.00％,两组差异显著(P＜0.05)；总有效率观察组93.33％,对照组80.00％,两组差异显著(P＜0.05).起效时间、治疗时间、结石排出时间、住院时间观察组分别为(33.08±11.83),(2.33±1.22),(42.54±12.67),(53.78±14.42)d,对照组分别为(45.14±13.78),(3.67±1.30),(62.93±15.65),(72.42±18.65)d,观察组优于对照组(P＜0.05).结论:利胆排石汤联合头孢地嗪、熊去氧胆酸片治疗胆石症临床疗效显著,可缩短起效时间、治疗时间、结石排出时间、住院时间.

Lidan Paishi Decoction Combined with Western Medicine in Treatment of Cholelithiasis of 30 Cases

Objective :To observe the Lidan Paishi decoction combined with Cefodizime, ursodeoxycholic acid tablet for treating cholelithiasis on clinical curative effect. Method : Sxity cases of cholelithiasis patients were randomly divided into two groups, with 30 cases in each group. The two groups were given cefodizime 1.5 g+250 mL saline, gtt, bid. Ursodeoxycholic acid tablets 150 mg, orally bid. The observation group based on the above treatment combined with Lidan Paishi decoction. The 2 group were treated for 5 d as 1 course, 2 d rest between courses, total 4 courses. Result : The cure rates were 73.33% and 50%, in the combined treatment group and the control group respectively (P<0.05); the total efficiency was 93.33% and 80% in the combined treatment group and the control group respectively (P<0.05). Onset time, duration of treatment, the stone discharge time, hospitalization time were (33.08±11.83), (2.33±1.22), (42.54±12.67), (53.78±14.42) d in the observation group and (45.14±13.78), (3.67±1.30), (62.93±15.65),(72.42±18.65) d in the control group (P<0.05). Conclusion: Lidan Paishi decoction combined with cefodizime, ursodeoxycholic acid tablets in treatment of cholelithiasis demonstrates remarkable clinical curative effect, the treatment can shorten the onset time, duration of treatment, the stone discharge time and hospitalization time.