Laparoscopic Surgery and Modified Xiaoyan Lidan Decoction: An Effective Combination for Treating Cholecystitis with Cholelithiasis

Proceedings of Anticancer Research Pub Date : 2023-12-22 DOI:10.26689/par.v7i6.5613

Sidian Xiao

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Abstract

Objective: To assess the clinical effects of combining laparoscopic surgery with Modified Xiaoyan Lidan Decoction in patients diagnosed with cholecystitis and cholelithiasis. Methods: Following the guidelines of the double-blind method, 86 cases of cholecystitis with cholelithiasis were randomly divided into two groups, each comprising 43 cases. Both groups underwent laparoscopic surgery, with the observation group additionally receiving Modified Xiaoyan Lidan Decoction. A comparative analysis was conducted on clinical treatment effectiveness, general observation indicators, Traditional Chinese Medicine (TCM) syndrome scores, and the occurrence of adverse reactions between the two groups. Results: The observation group demonstrated a significantly higher overall clinical treatment effectiveness compared to the control group (P < 0.05). The clinical symptom improvement time and hospitalization time were shorter in the observation group, and the pain score and TCM syndrome score after treatment were lower than those in the control group (P < 0.05). No statistically significant difference was observed in the total reaction values (P > 0.05). Conclusion: The combined application of laparoscopic surgery and Modified Xiaoyan Lidan Decoction can enhance clinical treatment efficiency for patients with cholecystitis and cholelithiasis. It facilitates a quicker improvement in clinical symptoms without causing serious adverse reactions, suggesting its potential for widespread adoption.

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腹腔镜手术与改良小青囊煎剂：治疗胆囊炎合并胆石症的有效联合疗法

目的评估腹腔镜手术与改良小柴胡汤联合治疗胆囊炎和胆石症患者的临床效果。方法按照双盲法指南，将 86 例胆囊炎合并胆石症患者随机分为两组，每组 43 例。两组均接受腹腔镜手术治疗，观察组加用改良小柴胡汤。对两组的临床治疗效果、一般观察指标、中医证候评分、不良反应发生情况进行对比分析。结果显示观察组临床治疗总有效率明显高于对照组（P<0.05）。观察组临床症状改善时间和住院时间均短于对照组，治疗后疼痛评分和中医综合征评分均低于对照组（P<0.05）。总反应值差异无统计学意义（P>0.05）。结论腹腔镜手术与改良小柴胡汤联合应用可提高胆囊炎、胆石症患者的临床治疗效率。该方法能更快地改善临床症状，且不会引起严重的不良反应，具有广泛应用的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Proceedings of Anticancer Research

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