本文關(guān)鍵詞： 利膽消黃湯 梗阻性黃疸 膽總管結(jié)石 肝功能　出處：《廣州中醫(yī)藥大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：觀察利膽消黃湯對(duì)膽總管結(jié)石患者術(shù)后肝功能和臨床癥狀的影響。方法：將符合納入、排除標(biāo)準(zhǔn)的行膽總管切開取石+T管引流術(shù)的40例病人按手術(shù)先后順序隨機(jī)分為治療組和對(duì)照組,每組各20例。術(shù)后對(duì)照組給予西醫(yī)常規(guī)抗感染、護(hù)肝等治療,治療組在給予對(duì)照組治療的基礎(chǔ)上,在術(shù)后第2天開始服用利膽消黃湯(茵陳20g,金銀花15g,柴胡15g,黃芩10g,梔子10g,大黃10g,元胡10g,郁金10g,蒲公英10g,豬苓10g,澤瀉15g,芒硝5g),每日1劑,5天為1療程。觀察兩組患者中醫(yī)臨床癥狀的改善情況,并于術(shù)后第5天、第7天復(fù)查肝功能進(jìn)行比較。結(jié)果：在年齡、性別和肝功能方面兩組患者術(shù)前均無顯著性差異(P0.05)。在中醫(yī)臨床癥狀評(píng)分及總有效率方面,治療組與對(duì)照組之間的差異有統(tǒng)計(jì)學(xué)意義(P0.05)。在肝功能(ALT、AST、GGT、TB、DB、ALB)方面,治療組與對(duì)照組之間的差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：通過觀察膽總管結(jié)石患者術(shù)后中醫(yī)臨床癥狀改善情況和肝功能指標(biāo)的恢復(fù)情況,說明了利膽消黃湯在膽總管結(jié)石患者術(shù)后肝功能的恢復(fù)有一定的優(yōu)勢(shì),并可在一定程度上改善膽總管結(jié)石患者術(shù)后相關(guān)臨床癥狀。
[Abstract]:Objective: to observe the effect of Lidanxiahuang decoction on liver function and clinical symptoms in patients with choledocholithiasis after operation. Forty patients who were treated with choledocholithotomy and T-tube drainage were randomly divided into treatment group and control group with 20 cases in each group. On the second day after operation, the treatment group began to take Lidan Xiaohuang decoction (Yinchen 20g, Flos Lonicerae 15g, Bupleurum 15g, Scutellaria baicalensis 10g, Gardenia Gardenia 10g). Rhubarb 10g, Yuanhu 10g, Tujin 10g, dandelion 10g, Polyporus 10g, Alismatis 15g, Glauberite 5g, 1 dose per day. Five days as a course of treatment. Observe the improvement of the clinical symptoms of traditional Chinese medicine in the two groups, and on the fifth day, the seventh day of re-examination of liver function. Results: at age. There was no significant difference between the two groups in terms of gender and liver function before operation. The difference between the treatment group and the control group was statistically significant (P 0.05). The difference between the treatment group and the control group was statistically significant (P 0.05). Conclusion: by observing the improvement of clinical symptoms and the recovery of liver function in patients with choledocholithiasis after operation. The results showed that Lidanxiahuang decoction had some advantages in the recovery of liver function in patients with choledocholithiasis, and could improve the clinical symptoms of patients with choledocholithiasis to a certain extent.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R657.42

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