Clinical effect of traditional Chinese medicine rhubarb peony decoction combined with laparoscopic surgery in the treatment of aged patients with acute suppurative cholecystitis / 中国基层医药

ABSTRACT

Objective To investigate the clinical effect of traditional Chinese medicine rhubarb peony decoction combined with laparoscopic surgery in the treatment of elderly patients with acute suppurative cholecystitis.Methods From March 2016 to April 2017,52 patients with acute suppurative cholecystitis who were surgically treated in Anji Branch of Zhejiang Province Traditional Chinese Medical Hospital were selected in this study.According to different treatment methods,the patients were divided into control group and observation group,with 26 cases in each group.The control group was given laparoscopic surgery,the observation group was given traditional Chinese medicine rhubarb peony decoction based on laparoscopic surgery.The clinical treatment effect,hospitalization time,leukocyte recovery time,antipyretic time,antibiotic use time,occurrence of complications,and patients' satisfaction with treatment were observed.Results The patients' satisfaction rate with the treatment of the observation group was 96.15％,which was significantly higher than 73.08％ of the control group (x2 =18.093,P =0.001).The hospitalization time,antibiotic use time,defervescence time and leukocyte recovery time of the observation group were (6.2 ± 0.9) d,(4.4 ± 0.6) d,(3.4 ± 0.7) d,(4.1 ± 1.1) d,respectively,which were significantly shorter than those in the control group (t =14.706,13.425,12.604,13.102;P =0.003,0.001,0.002,0.001).The treatment effective rate,incidence rate of complication in the observation group were 96.15％,7.69％,respectively,which were significantly better than those in the control group (x2 =96.15,9.082;P =0.001,0.001).Conclusion Laparoscopic surgery combined with traditional Chinese medicine rhubarb peony decoction for elderly patients with acute suppurative cholecystitis can significantly shorten the length of hospital stay,defervescence time,leukocyte recovery time and antibiotic use,and reduce the incidence of postoperative complications,improve the patients' clinical effect of surgery.In addition,this method can also improve the patients' satisfaction with the treatment,which can be used in clinical practice.