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目的观察半夏泻心汤加减辅治慢性胆囊炎的临床效果。方法将医院中医内科门诊治疗的慢性胆囊炎患者116例随机分为观察组和对照组,每组58例。对照组采用常规西医治疗,观察组在对照组治疗的基础上给予半夏泻心汤加减辅治,观察比较2组临床效果、症状改善及胆囊变化情况。结果观察组治疗总有效率为96.55%,高于对照组的81.03%(P<0.05);观察组治疗后右上腹疼痛、腹胀、胆区不适或叩击痛等症状积分均低于对照组(P<0.01);观察组治疗后胆囊长径、胆囊短径、胆囊壁厚度较对照组明显改善(P<0.01)。结论半夏泻心汤加减辅治慢性胆囊炎具有良好的临床效果,可有效缓解症状,改善胆囊功能,具有积极的临床意义。
Objective To observe the clinical effect of Banxiaxiexin Decoction on chronic cholecystitis. Methods One hundred and sixty-six patients with chronic cholecystitis undergoing TCM clinic were randomly divided into observation group and control group, with 58 cases in each group. The control group was treated by conventional western medicine. The observation group was given Banxiaxiexin decoction on the basis of the control group, and the clinical effects, symptoms and gallbladder changes were observed and compared. Results The total effective rate of the observation group was 96.55%, which was higher than that of the control group (81.03%, P <0.05). The scores of right upper quadrant pain, abdominal distension, gall bladder discomfort or percussion pain in the observation group were lower than those in the control group P <0.01). After treatment, the long diameter of gallbladder, the short diameter of gallbladder and the thickness of gallbladder wall in the observation group were significantly improved (P <0.01). Conclusion Banxiaxiexin Decoction is a good clinical treatment for chronic cholecystitis, which can effectively relieve symptoms and improve gallbladder function. It has a positive clinical significance.