摘要
目的探索益气养阴及凉血解毒方治疗胆石症合并ACST的疗效并探讨其护理体会。方法患者80例,随机分为治疗组和对照组各40例。其中对照组在术后以常规西药治疗,而治疗组在常规西药治疗的基础上增加凉血解毒、益气养阴中药方剂治疗及护理干预,分析对比2组间的临床疗效。结果治疗组术后第7天和第14天的AST、ALT均低于术前,差异有统计学意义(P<0.001);2组术前的AST、ALT比较差异均无统计学意义(P>0.05);治疗组术后第7天和第14天的AST、ALT均明显低于对照组,差异有统计学意义(P<0.001);治疗组肠鸣音最早恢复时间、住院时间及并发症率均明显小于对照组,2组比较差异有统计学意义(P<0.05)。结论对于胆石症合并ACST患者,在常规西药基础上增加益气养阴、凉血解毒方及护理干预能明显改善肝功能,提升疗效,降低患者经济负担。
Objective To investigate the effect and nursing experience of supplementing qi and nourishing yin and cooling blood and removing toxic material decoction in cholelithiasis with severe acute cholangitis. Methods The 80 patients were divided into a treatment group including 40 cases and the control group including 40 cases. The control group were received conventional western medicine treatment, while the treatment group were received conventional western medicine treatment, supplementing qi and nourishing yin, cooling blood and removing toxic material decoction and nursing intervention. The clinical efficacy of the two groups were compared. Results The ALT and AST in 7 and 14 clays after the surgery in the treatment group were lower than before the surgery, the difference was statistically sig- nificant（P 〈0. 001） ; Compared the ALT and AST in the treatment group and the control group before the surgery, the difference was no statistically significant （P 〉 0.05 ） ; The ALT and AST in 7 and 14 clays after the surgery in the treatment group were lower than the control group, the difference was statistically significant（P 〈0. 001 ） ; The earliest recovery time of bowel sounds, hospitalization time and complication rate in the treatment group were lower than the control group, Compared two groups, the difference was statistically significant （ P 〈 0.05 ）. Conclusion For the patients with cholelithiasis and severe acute cholangitis, conventional western medicine treatment, supplementing qi and nourishing yin, cooling blood and removing toxic material decoction and nursing intervention can improve liver function, enhance the efficacy and lower the charge of patients.
出处
《吉林中医药》
2015年第11期1111-1114,共4页
Jilin Journal of Chinese Medicine
基金
江苏省卫生厅资助项目(20110329)
关键词
益气养阴
凉血解毒
胆石症
重症急性胆管炎
supplementing qi and nourishing yin
cooling blood and removing toxic material decoction
cholelithiasis
severe acute cholangitis
