CAJ | 학술논문

目的：对中西医结合治疗慢性胆囊炎合并胆结石的疗效进行分析探讨。方法将该院2010年1月—2015年2月收治的104例慢性胆囊炎合并胆结石患者随机分为对照组与观察组，对照组(52例)行常规西医手术治疗，观察组(52例)在西医手术的基础上行中医治疗，对比两组患者的治疗效果。结果观察组治疗有效率为90.38%，对照组治疗有效率为76.00%，观察组治疗有效率明显高于对照组，差异有统计学意义(P<0.05)。两组患者治疗前中医证候积分差异无统计学意义(P>0.05)，经过治疗均得到显著降低，差异有统计学意义(P<0.05)，且观察组的证候积分明显低于对照组，差异有统计学意义(P<0.05)。结论对慢性胆囊炎合并胆结石患者行中西医结合治疗具有效果理想、安全性高等优点，值得临床推广借鉴。
목적：대중서의결합치료만성담낭염합병담결석적료효진행분석탐토。방법장해원2010년1월—2015년2월수치적104례만성담낭염합병담결석환자수궤분위대조조여관찰조，대조조(52례)행상규서의수술치료，관찰조(52례)재서의수술적기출상행중의치료，대비량조환자적치료효과。결과관찰조치료유효솔위90.38%，대조조치료유효솔위76.00%，관찰조치료유효솔명현고우대조조，차이유통계학의의(P<0.05)。량조환자치료전중의증후적분차이무통계학의의(P>0.05)，경과치료균득도현저강저，차이유통계학의의(P<0.05)，차관찰조적증후적분명현저우대조조，차이유통계학의의(P<0.05)。결론대만성담낭염합병담결석환자행중서의결합치료구유효과이상、안전성고등우점，치득림상추엄차감。
Objective To study the clinical effect of combination of Chinese and Western medicine in the treatment of chronic cholecystitis complicated with cholelithiasis. Methods 104 patients with chronic cholecystitis complicated with cholelithiasis admit-ted to our hospital between January 2010 and February 2015 were randomized into control group and observation group. The 52 patients in the control group were treated with routine operation, while those in the observation group were treated with traditional Chinese medicine based on western medicine surgery. The effects were compared between the two groups. Results The effective rate was 90.38%in the observation group and 76.00%in the control group, and the former was higher than the latter with statisti-cally significant difference, P<0.05. There were no statistically significant differences in TCM syndrome score between the two groups before the treatment(P>0.05).But after treatment, the TCM syndrome scores decreased both in the two group with statistical significance, P<0.05, further more, the TCM syndrome score was lower in the observation group than in the control group, and there was statistically significant differences between them, P<0.05. Conclusion Combination of Chinese and Western medicine is worthy of promotion and reference in the treatment of chronic cholecystitis complicated with cholelithiasis because of its advan-tages of ideal effect and high safety.