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Fu Fang Da Chai Hu Decoction Compound In The Promotion Of Bile Duct Stones Efficacy Of Postoperative Jaundice

Posted on:2011-09-16Degree:MasterType:Thesis
Country:ChinaCandidate:J LiFull Text:PDF
GTID:2144360305463071Subject:Traditional Chinese Medicine
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Background:Cholelithiasis is one of the common diseases of Hepatobiliary Surgery, the main clinical manifestations of "jaundice, abdominal pain, fever, aversion to cold (neuropsychiatric symptoms, shock)", which is induced jaundice is "obstructive" category. At present, for obstructive jaundice mainly dominated by surgery, the reasons for the relief of the obstruction, the jaundice subsides should be followed, but the nature of clinical jaundice receded dependent, time-consuming, they may even increase, known as obstructive jaundice "high-risk state ", now that this phenomenon is the scope of cholestasis.Objective:To speed up the solving the problem of jaundice in decline, according to literature, selected as the research Dachaihutang compound objects, by exploring this side of the mechanism of obstructive jaundice and to observe the clinical symptoms after taking the side of mitigation, as well as observed and compared Bilirubin (jaundiceIndex:serum total bilirubin, direct bilirubin) were to explore whether the compound can accelerate Dachaihutang after regression of obstructive jaundice.Method:Diagnostic criteria of obstructive jaundice,40 patients were randomly divided into conventional Western medicine treatment plus service Chai Hu Tang compound in the treatment group (treatment group) 20 cases of conventional therapy control group (control group) 20 cases. Pure control group, conventional western medicine, the treatment group to deal with on the basis of conventional Western medicine give compound in the Chai Hu Tang (Bupleurum 15, skullcap 10, TGP 10, France Summer 10, Zhishi 10, rhubarb [after] the 6Capillary 30, gardenia 10, turmeric 15), which compound in the House of Chai Hu Tang pharmacy gave me boiling, each taking 100ml,1 1 second warm clothes, take five. Observed the improvement of clinical symptoms and in the next day after taking decoction (extraction tube for the control group on day 5) review of serum total bilirubin, direct bilirubin.Results:Two groups before treatment in terms of age, gender, disease duration, and surgery was no significant difference form. After treatment, clinical cure rate of 15% Chinese,30% markedly effective, effective 40% ineffective 15% of the total effective rate 84%, up by the control group was 0%, markedly effective rate of 5%,70% efficiencyNo efficiency 25%,75% total efficiency, the difference was significant; for total serum bilirubin and serum bilirubin before and after treatment P=0.001, statistically significant differences were apparent. Accordingly, one can deduce that compound Dachaihutang improving regression of jaundice after biliary stones and the clinical symptoms improved significantly in the role.Conclusion:By observing the serum total bilirubin, direct bilirubin index of recovery, defined the treatment group than in the control group in the accelerated regression of obstructive jaundice have certain advantages, and can be improved to some extent the rest of clinical obstructive jaundicesymptoms.
Keywords/Search Tags:Fu Fang Da Chai Hu decoction, Obstructive jaundice, Bilirubin
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