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[目的]观察利胆排石汤联合西药治疗胆结石疗效。[方法]使用随机平行对照方法,将80例门诊患者按抛硬币法简单随机分为两组。常规综合治疗,补液、进食护理、服用广谱抗生素等,同时解痉、保肝等治疗。对照组40例消炎利胆片,1.5g/次,3次/d。治疗组40例利胆排石汤(栀子6g,金钱草30g,茵陈15g,柴胡10g,海金沙30g,木香、郁金、鸡内金、大黄、虎杖各10g,黄芩6g,芒硝5g;肝胆湿热将栀子、茵陈加倍;肝郁脾虚加白术、党参、茯苓);1剂/d,水煎200m L,早晚口服。连续治疗30d为1疗程。观测临床症状、结石体积、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效23例,有效12例,无效5例,总有效率87.50%。对照组显效12例,有效15例,无效13例,总有效率67.50%。治疗组疗效优于对照组(P<0.05)。[结论]利胆排石汤联合西药治疗胆结石疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of gallbladder Pai Shi decoction combined with Western medicine in treating gallstones. [Methods] Using randomized parallel control method, 80 outpatients were randomly divided into two groups according to the coin tossing method. Routine general treatment, rehydration, feeding care, taking broad-spectrum antibiotics, while antispasmodic, liver and other treatment. 40 cases of control group Xiaoyanlidan tablets, 1.5g / times, 3 times / d. Treatment group, 40 cases of gallbladder Pai Shi Tang (Gardenia 6g, Lonicerae 30g, capillaris 15g, Bupleurum 10g, sea Sands 30g, woody, turmeric, chickweed, rhubarb, Polygonum cuspidatum 10g, baicalin 6g, mirabilite 5g; liver and gallbladder damp heat gardenia, capillaris double; liver depression Spleen plus Atractylodes, Codonopsis, Poria); 1 / d, decoction 200m L, sooner or later oral. Continuous treatment of 30d for a course of treatment. Observation of clinical symptoms, stone volume, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group was effective in 23 cases, effective in 12 cases, ineffective in 5 cases, the total effective rate was 87.50%. The control group markedly effective in 12 cases, effective in 15 cases, ineffective in 13 cases, the total effective rate was 67.50%. The treatment group was better than the control group (P <0.05). [Conclusion] Li Dan Paishi Decoction combined with Western medicine in the treatment of gallstones with satisfactory results, no serious adverse reactions, it is worth promoting.