大柴胡汤合茵陈蒿汤治疗老年急性梗阻性化脓性胆管炎24例分析

目的]探讨治疗老年急性梗阻性化脓性胆管炎的有效方法。方法]共45例,随机分2组,两组均在全麻下手术,解除梗阻和胆道引流,中西医结合治疗组24例另用大柴胡汤合茵陈蒿汤加减治疗。结果]两组病例治疗前后临床症状、体征消失,WBC、ALT、血胆红素恢复正常方面有显著差异(P<0·01)治中西医结合疗组优于单纯西医治疗组。结论]大柴胡汤合茵陈蒿汤治疗老年急性梗阻性化脓性胆管炎有明显疗效。

24 Cases of Senile Acute Obstructive Pyogenic Cholangitis Treated with Major Bubleurum Decoction and Capillaris Decoction

ObjectiveExplore the effective treatment for senile acute obstructive pyogenic cholangitis.MethodRandomly divide 45 cases into 2 groups,operate under full anesthesia to remove the obstruction and make biliary tract drainage,the treatment group 24 cases with combination of TCM and western medicine(WM)are treated with revised Major Bubleurum Decoction and Capillaris Decoction.ResultFor both groups,the clinical symptoms and signs disappear;WBC,ALT and the recovery of blood bilirubin are much different,the treatment group of combination of TCM and WM was better than the WM group.ConclusionMajor Bubleurum Decoction and Capillaris Decoction has marked effect in treating senile acute obstructive pyogenic cholangitis.