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中西医结合治疗胆道蛔虫病的效果观察
Clinical effect of integrated traditional Chinese and Western medicine therapy in treatment of biliary ascariasis
文章发布日期:2017年01月06日  来源:  作者:汪大海,戴永泽  点击次数:1395次  下载次数:310次

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【摘要】:目的探讨胆道蛔虫病的有效治疗方法。方法回顾性分析黄梅县人民医院1994年1月-2014年1月20年间收治的32例胆道蛔虫病患者临床资料。所有患者均给予解痉、止痛、抗感染及中医辨证施治、中药理气止痛、安蛔驱虫等治疗,效果不佳者给予手术治疗。结果32例患者中5例(15.6%)在应用中药“乌梅汤”驱蛔无效的情况下行手术治疗;27例(84.4%)经西医西药结合“乌梅汤”驱蛔成功得到治愈。无急性胰腺炎、胆囊穿孔、肝脓肿等并发症发生。32例患者出院后定期应用“乌梅汤”驱蛔,均无复发。结论胆道蛔虫病经中西医结合治疗具有有效性、安全性和可靠性,值得推广。
【Abstract】:ObjectiveTo investigate an effective method for the treatment of biliary ascariasis. MethodsA retrospective analysis was performed for the clinical data of 32 patients with biliary ascariasis who were treated in The People′s Hospital of Huangmei County from January 1994 to January 2014. All the patients were given spasmolysis, pain management, anti-infective therapy, traditional Chinese medicine syndrome differentiation-based treatment, Chinese materia medica for regulating qi and relieving pain, and ascariasis-relieving and parasite-expelling treatment. Patients were given surgical treatment due to poor response. ResultsOf all the 32 patients, 5(156%) had no response to the ascariasis-relieving treatment with Fructus Pruni Mume decoction and were given surgical treatment, and 27 (84.4%) were cured by Western medicine combined with Fructus Pruni Mume decoction. There were no complications such as acute pancreatitis, perforation of the gallbladder, and liver abscess. All the patients were treated with Fructus Pruni Mume decoction regularly after discharge and no patient experienced recurrence. ConclusionIntegrated traditional Chinese and Western medicine therapy is effective, safe, and reliable in the treatment of biliary ascariasis and holds promise for clinical application.
【关键字】:胆道疾病; 蛔虫病; 中西医结合疗法
【Key words】:biliary tract diseases; ascariasis; TCM WM therapy
【引证本文】:汪大海, 戴永泽. 中西医结合治疗胆道蛔虫病的效果观察[J]. 临床肝胆病杂志, 2017, 33(2): 313-315.

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