CAJ | 학술논문

目的：观察中西医结合治疗急性胆囊炎的疗效。方法：将400例急性胆囊炎患者随机分为观察组与对照组各200例，对照组给予西医治疗（卧床休息、胃肠减压、水电解质调节、营养支持、药物治疗），观察组则在西医治疗基础上配合服用清胆汤，观察两组临床疗效。结果：观察组总有效率为95.0%，显著高于对照组的80.0%（P<0.05）；观察组发热、疼痛、恶心呕吐等症状缓解时间均显著短于对照组（P<0.05）。结论：中西医结合治疗急性胆囊炎能有效提高临床疗效，且能缩短疗程，避免病情加剧，值得临床推广应用。
목적：관찰중서의결합치료급성담낭염적료효。방법：장400례급성담낭염환자수궤분위관찰조여대조조각200례，대조조급여서의치료（와상휴식、위장감압、수전해질조절、영양지지、약물치료），관찰조칙재서의치료기출상배합복용청담탕，관찰량조림상료효。결과：관찰조총유효솔위95.0%，현저고우대조조적80.0%（P<0.05）；관찰조발열、동통、악심구토등증상완해시간균현저단우대조조（P<0.05）。결론：중서의결합치료급성담낭염능유효제고림상료효，차능축단료정，피면병정가극，치득림상추엄응용。
Objective:To observe the integrated traditional Chinese and western medicine treatment for acute cholecystitis. Methods:400 cases of pa-tients with acute cholecystitis were randomly divided into observation group (200 cases) and control group (200 cases), the control group treated by western medicine treatment (bed rest, gastrointestinal decompression, water and electrolyte regulation, nutritional support, medication), while obser-vation group combined with orally taking Qingdan decoction on the basis of western medicine treatment, observed the efficacy of two groups. Re-sults:The total effective rate of observation group was 95.0%, significantly higher than 80.0%that of control group (P<0.05);the remission time of fever, pain, nausea and vomiting of observation group were all significantly shorter than those of control group (P<0.05). Conclusion:The integrated traditional Chinese and western medicine treatment for acute cholecystitis can effectively improve the efficacy, shorten the course of treatment and avoid the deterioration of patients' condition, deserves clinical promotion and application.