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目的:探讨大柴胡汤加减在急性胆囊炎胆石症治疗中的应用效果。方法:纳入2014年1月至2015年8月普外科收治的82例急性胆囊炎胆石症患者按照随机数字表法均分为中医组和西医组各41例,西医组实施西医常规治疗,中医组在西医组治疗基础上加用大柴胡汤加减治疗,对比两组患者的治疗效果。结果:中医组痊愈和总有效率分别为68.29%、92.68%,与西医组的41.46%、70.73%比较均显著提高(P<0.05)。中医组症状消失时间也明显短于西医组(P<0.05);两组治疗期间均未见肝、肾功能损害等严重并发症。结论:大柴胡汤加减治疗急性胆囊炎胆石症能有效提高治疗效果,且不增加毒副反应,是一种安全、有效的治疗方案。
Objective: To investigate the application of Dachaihu Decoction in the treatment of acute cholecystitis. Methods: A total of 82 patients with acute cholecystitis admitted to our department from January 2014 to August 2015 were randomly divided into two groups according to the random number table: 41 cases in the TCM and Western medicine groups, On the basis of western medicine group, add Dachaihu Decoction to add and subtract treatment, and compare the curative effect of the two groups of patients. Results: The cure rate and total effective rate of TCM group were 68.29% and 92.68% respectively, which were significantly higher than those of Western medicine group 41.46% and 70.73% (P <0.05). The symptom disappearance time of TCM group was also significantly shorter than Western medicine group (P <0.05). No serious complications such as liver and kidney dysfunction were observed during the two groups. Conclusion: Dachaihu Decoction can effectively improve the therapeutic effect of gallstone disease in patients with acute cholecystitis without increasing toxic and side effects. It is a safe and effective treatment plan.