术前中药处理在老年结石性胆囊炎行腹腔镜胆囊切除术中的效果分析

刘德龙

（陕西省白水县中医医院外科，陕西 渭南，715600）

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摘要：

目的 观察术前中药处理在结石性胆囊炎行腹腔镜胆囊切除术中的应用效果。方法 将80例结石性胆囊炎患者随机分为对照组和观察组，每组40例。对照组行常规术前准备，观察组术前给予中药处理（苁蓉承气汤）。两组均行腹腔镜胆囊切除术治疗，比较两组治疗效果、36h内恶心呕吐发生情况、手术时间、术中出血量、住院时间、术后排气时间及肠鸣音恢复时间。结果 观察组术后36h内恶心呕吐Ⅰ级比例显著高于对照组，Ⅱ级少于对照组（P<0.05），手术时间、术中出血量、住院时间均显著优于对照组（P<0.05）；观察组治疗总有效率显著高于对照组（P<0.05）；术后排气时间、肠鸣音恢复时间显著短于对照组（P<0.05）。结论 通过术前给予中药苁蓉承气汤可显著提高腹腔镜胆囊切除术的临床治疗效果，值得推广应用。

关键词：苁蓉承气汤；术前准备；结石性胆囊炎；腹腔镜；胆囊切除

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2017)08-0123-02

Effect of preoperative Chinese medicine treatment on laparoscopic cholecystectomy in elderly patients

with calculous cholecystitis
LIU De-long
（Department of Surgery, Baishui County Hospital of Traditional Chinese Medicine, Weinan 715600, China）

ABSTRACT: Objective To observe the application effect of preoperati ve Chinese medicine treatment on laparoscopic cholecystectomy in patients with calculous cholecystitis. Methods Eighty patients with calculous cholecystitis were randomly divided into control group and observation group, with 40 cases in each group. The control group given routine preoperative preparation, the observation group received the preoperative Chinese medicine treatment (Congrong tongbian soup), the two groups were performed laparoscopic cholecystectomy. The treatment effect, the occurrence of nausea and vomiting within 36 h, the operation time, the intraoperative blood loss, the hospital stay, the postoperative exhaust time and bowel sounds recovery time were compared in the two groups. Results The occurrence of nausea and vomiting of level Ⅰ within 36 h in the observation group was significantly higher than that of the control group, and vomiting of level Ⅱ was lower than that of the control group (P<0.05); the operation time, intraoperative blood loss, hospital stay in the observation group were significantly better than those in the control group (P<0.05); the total effective rate of the observation group was higher than that of the control group (P<0.05); the postoperative exhaust time and bowel sounds recovery time of the observation group were significantly better than those of control group (P<0.05). Conclusion Preoperative TCM Congrong tongbian soup can significantly improve the clinical effect of laparoscopic cholecystectomy, it is worthy of clinical popularization and application. KEYWORDS: Congrongtongbian soup; preoperative preparation; calculous cholecystitis. laparoscope; the gallbladder removal.

参考文献：
[1] 杨媛蓉.复方大承气冲剂用于腹腔镜胆囊切除术前肠道准备临床观察[J].吉林中医药,2009,29(5):401-402.
[2] 郭吕,顾喜明.中药对腹腔镜胆囊切除患者胃肠功能恢复的影响 [J].辽宁中医杂志,2007,34(12):1729-1731.
[3] 陈亮.术前中药处理在老年结石性胆囊炎腹腔镜胆囊切除术中的应用效果研究[J].亚太传统医药,2015,11(3):127-128.
[4] 余兴旺,周晓娇.老年结石性胆囊炎腹腔镜胆囊切除术术前肠道准备的中药处理效果评价[J].西部中医药,2013,26(8):82-83.
[5] 徐霖,姜杰,杜凤藻,等.中药胆囊2号方在腹腔镜胆囊切除术围手术期中的应用[J].中国中西医结合杂志,2008,28(12):1090-1092.
[6] 李红松.腹腔镜胆囊切除术联合中药治疗急性结石性胆囊炎的疗效观察[J].海南医学,2014,25(5):658-660.
[7] 余兴旺,周晓娇.苁蓉承气汤在老年结石性胆囊炎腹腔镜胆囊切除术术前肠道准备200例疗效观察[J].甘肃医药,2013,32(5):379-380.
[8] 郝晓尊,王会生,郝玉杰,等.幽门螺杆菌感染与结石性胆囊炎及术后综合征的关系[J].中国老年学,2011,31(21):4100-4102.