疏肝利胆汤佐治老年胆囊炎胆石症的效果

目的评价疏肝利胆汤辅助治疗老年胆囊炎胆石症的临床效果。方法选取2009年4月~2013年3月本院收治的胆囊炎胆石症患者77例,随机分为观察组和对照组,其中对照组38例,采用急诊手术治疗,观察组39例,采用疏肝利胆汤口服联合静脉滴注头孢哌酮,7 d后手术,观察并比较两组的临床疗效、治疗前后症状积分及血脂变化情况。结果观察组的总有效率为94.9%,对照组的总有效率为84.2%,差异有统计学意义（P〈0.05）。两组治疗后的症状积分较治疗前均显著降低,差异有统计学意义（P〈0.05）;观察组治疗后的症状积分低于对照组,差异有统计学意义（P〈0.05）。两组治疗前TG及TC水平比较差异无统计学意义（P〉0.05）;两组治疗后TG水平比较差异无统计学意义（P〉0.05）;两组治疗后TC水平比较差异有统计学意义（P〈0.05）。结论疏肝利胆汤联合西药治疗老年胆囊炎胆石症的效果好,安全性高,值得临床推广应用。

Efficacy of Shugan lidan decoction in the treatment of elderly patients with cholecystitis and cholelithiasis

Objective To evaluate the clinical effect of Shugan lidan decoction in the treatment of elderly patients with cholecystitis and cholelithiasis. Methods Seventy-seven patients with cholecystitis and cholelithiasis admitted into our hospital from April 2009 to March 2013 were selected and divided into observation group and control group in random. The emergency operation was applied in control group （38 cases）,while oral administration of Shugan lidan decoction and intravenous drip of cefoperazone were used in observation group （39 cases）,and operation after 7-day treatment.The clinical effect,change of symptom score and level of blood lipid before and after treatment was observed and compared in two groups respectively. Results The total effective rate in observation group was 94.9%,total effective rate in control group was 84.2%,with statistical difference （P〈0.05）.The score of symptom after treatment was lower than that before treatment in two groups,with statistical difference （P〈0.05）.The score of symptom after treatment in observation group was lower than that in control group,with statistical difference （P〈0.05）.TG and TC before treatment in two groups was compared respectively,with no statistical difference （P〉0.05）.TG after treatment in two groups was compared,with no statistical difference （P〉0.05）.TC after treatment in two groups was compared,with statistical difference （P〈0.05）. Conclusion Shugan lidan decoction combined with western medicine in the treatment of elderly patients with cholecystitis and cholelithiasis can obtain a favorable effect and high safety,which is worthy of expansion and application in clinic.