航空航天医学杂志
航空航天醫學雜誌
항공항천의학잡지
AEROSPACE MEDICINE
2015年
4期
395-397
,共3页
慢性非结石性胆囊炎%体外冲击波%消炎利胆药
慢性非結石性膽囊炎%體外遲擊波%消炎利膽藥
만성비결석성담낭염%체외충격파%소염리담약
chronic acalculous cholecystitis%extracorporeal shock wave%anti-inflammatory and cholagogic medi-cine
目的:体外冲击波治疗慢性非结石性胆囊炎的疗效观察及临床研究。方法对80例慢性非结石性胆囊炎患者随机分成2组,每组40例;治疗组采用上海交大JDPN-VB型体外冲击波碎石机,以右上腹部为冲击波路径,俯卧位,对病变胆囊进行体外冲击波治疗,每次治疗电压选择8~10 kV,冲击波次数为1000次,间隔2周治疗下一次,2次为1个疗程;对照组采用消炎利胆药口服4周。两组分别于开始治疗4周后评估慢性非结石性胆囊炎治疗前后临床指标的变化。结果治疗4周后,发现治疗组慢性非结石性胆囊炎的临床症状、胆囊彩超变化等单项指标改善程度及综合疗效均明显优于对照组。结论体外冲击波是治疗慢性非结石性胆囊炎行之有效的新方法,此方法起效快,安全可靠,疗效显著,值得临床推广应用。
目的:體外遲擊波治療慢性非結石性膽囊炎的療效觀察及臨床研究。方法對80例慢性非結石性膽囊炎患者隨機分成2組,每組40例;治療組採用上海交大JDPN-VB型體外遲擊波碎石機,以右上腹部為遲擊波路徑,俯臥位,對病變膽囊進行體外遲擊波治療,每次治療電壓選擇8~10 kV,遲擊波次數為1000次,間隔2週治療下一次,2次為1箇療程;對照組採用消炎利膽藥口服4週。兩組分彆于開始治療4週後評估慢性非結石性膽囊炎治療前後臨床指標的變化。結果治療4週後,髮現治療組慢性非結石性膽囊炎的臨床癥狀、膽囊綵超變化等單項指標改善程度及綜閤療效均明顯優于對照組。結論體外遲擊波是治療慢性非結石性膽囊炎行之有效的新方法,此方法起效快,安全可靠,療效顯著,值得臨床推廣應用。
목적:체외충격파치료만성비결석성담낭염적료효관찰급림상연구。방법대80례만성비결석성담낭염환자수궤분성2조,매조40례;치료조채용상해교대JDPN-VB형체외충격파쇄석궤,이우상복부위충격파로경,부와위,대병변담낭진행체외충격파치료,매차치료전압선택8~10 kV,충격파차수위1000차,간격2주치료하일차,2차위1개료정;대조조채용소염리담약구복4주。량조분별우개시치료4주후평고만성비결석성담낭염치료전후림상지표적변화。결과치료4주후,발현치료조만성비결석성담낭염적림상증상、담낭채초변화등단항지표개선정도급종합료효균명현우우대조조。결론체외충격파시치료만성비결석성담낭염행지유효적신방법,차방법기효쾌,안전가고,료효현저,치득림상추엄응용。
Objective This article aims to conduct the clinical observation and clinical research of extracorporeal shock wave therapy to chronic acalculous cholecystitis .Methods Divide 80 cases of patients of chronic acalculous chole-cystitis into 2 groups, with 40 cases in each group; as for the treatment group , the JDPN -VB model extracorporeal shock wave lithotripter by Shanghai Jiao Tong University is adopted to take the right upper quadrant as the shock wave path, and in prone position , to conduct the extracorporeal shock wave therapy to the gallbladder with the therapy voltage of 8 -10kv and the times of shock wave of 1000, and with the intervals of 2 weeks between two times;2 times are taken as 1 course of treatment; as for the control group , the anti-inflammatory and cholagogic medicines are taken for four weeks.Four weeks after the start of therapy , the two groups of patients are evaluated about the changes of clinical index be-fore and after the chronic acalculous cholecystitis .Results After 4 weeks of therapy , it is found that the single index im-provement degree and comprehensive therapeutic effect such as the clinical symptoms and the change in gallbladder Color Doppler Ultrasound of the treatment group are all obviously superior to that of the control group .Conclusions The extra-corporeal shock wave is a new effective method for the therapy of chronic acalculous cholecystitis ;it has the advantages of rapid effectiveness , safe and reliable and with effective therapy;worthy of clinic popularization and application .