| objective:Cholelith disease is the most common clinical diseases of the digestive system, as people living standard increasing domestic cholelith disease incidence rate showed a trend of rising year by year, the disease incidence of peak age between 40 to 60 years old, female patients, this one age paragraph the crowd because in menopause, the body endocrine disorders, metabolic levels drop, therefore, directly affect the liver enzyme action, liver cell secretion of bile acid and cut down the content of lecithin, cholesterol increased, so the incidence increased. Western medicine treatment of cholelith disease mainly taking the method of drug therapy and surgery, the surgical treatment of postoperative residual stone rate and the recurrence rate is relatively high, some patients are due to the removal of the gallbladder induced digestive disorders, in addition to the elderly, in part due to poor body each index can’t accept the surgical treatment. Drug treatment due to the cholagogic medicine western medicine has some side effects, thus limits the application; Some physical method because the indications range has also been restricted application of the rubble.TCM holds that cholelith disease belongs to "jaundice", such as "threats" pain disease category, the motherland medicine theory is that the disease is mainly due to the modern impeded, eating disorders or worm stone blockage of the morning, and pathogenesis of liver pathogenesis, bravery, relieving imbalances down stasis, hot and humid intrinsic cause suffering into stone, disease in the liver, and spleen and stomach and other related viscera. With the in-depth study of traditional Chinese medicine, Chinese medicine treatment, to show the advantages of less side effects, good analgesic effect and low recurrence rate were showed the advantages of TCM treatment.This study observed the general a comprehensive treatment plan application of Chinese medicine and western medicine in the treatment effect and function of cholelith disease mechanism, provides the clinical basis for the clinical treatment of cholelith disease.Methods:1. The control group conventional western medicine treatment plan;2. Observation group used when integrated traditional Chinese and western medicine therapy, patients in the morning at 8 o’clock 30 among patients of "stone soup"; 9 a.m. in the morning to morphine 5 mg, subcutaneous injection, once a/d; 10 at 10 o ’clock in the morning for the patients with oral MgSO440ml 33%,1/d; Acupuncture main point selection lunisolar, stage door, match the tan shu, gall bladder,1/d;3. Observe two groups of clinical symptoms before and after the treatment, symptoms and clinical curative effect of traditional Chinese medicine.Results:1. Clinical symptoms observation group total effective rate was 93.33%, control group total effective rate was 70.00%, the clinical symptom of comparative differences between groups was statistically significant (P< 0.05);2. Observation group of ultrasonic imaging to determine the total effective rate was 86.67%, the control of ultrasonic image to determine the total effective rate was 63.33%, comparing differences between groups was statistically significant (P< 0.05);3. Observation group after treatment of various clinical symptoms integral lower compared to the control group after treatment, comparing differences between groups was statistically significant (P< 0.05);4. Observation group after treatment of TCM symptoms points (9.43+1.44), and total control group after treatment of TCM symptoms points (13.65+2.56), and total contrast differences between groups was statistically significant (P< 0.05)5. Two groups of patients did not occur in the process of treatment did not produce any adverse reaction, better security.Conclusions:The general a comprehensive treatment of TCM and western medicine scheme applied in cholelith disease can improve the clinical effect, effectively improve the clinical symptoms and signs, is worth further clinical application. |
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