Keywords
Xiaoyan Lidan decoction
Cholecystitis
Cholelithiasis
Submitted : 2023-11-22
Accepted : 2023-12-07
Published : 2023-12-22
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.
References
Liao S, 2020, Clinical Observation of Xiaoyan Lidan Decoction Combined with Laparoscopic Surgery in the Treatment of Cholecystitis Accompanied by Cholelithiasis. Chinese Modern Distance Education of Traditional Chinese Medicine, 18(5): 50–52.
Lu L, 2020, Clinical Effect of Laparoscopic Surgery in the Treatment of Elderly Patients with Cholecystitis and Cholelithiasis. Medical Equipment, 33(17): 136–137.
Sun Y, 2018, 41 Cases of Chronic Cholecystitis of Liver and Gallbladder Damp-Heat Type Treated with Xiaoyan Lidan Decoction Combined with Western Medicine. Journal of Integrated Traditional Chinese and Western Medicine for Liver Disease, 28(1): 48–49.
Chinese Journal of Digestion Editorial Board, Chinese Medical Association Gastroenterology Branch Hepatobiliary Disease Collaborative Group, 2019, Chinese Consensus Opinions on Medical Diagnosis and Treatment of Chronic Cholecystitis and Cholecystolithiasis (2018). Chinese Journal of Digestion, 39(2): 73–79.
State Administration of Traditional Chinese Medicine, 2002, Principles of Clinical Research Guidelines for New Traditional Chinese Medicines, China Medical Science and Technology Press, Beijing, 239–243.
Dong P, Guo S, Cao D, et al., 2020, Effects of Traditional Chinese Medicine Prescriptions Combined with Laparoscopic Surgery on Blood Phosphorus, Blood Calcium, Bile Acids, and Cholesterol in Patients with Paraplegic Cholelithiasis. Journal of Guangxi Medical University, 37(4): 737–741.
Liu Y, Han Y, 2023, The Effect of Qinggan Lidan Decoction Combined with Laparoscopic Surgery on Patients with Acute Cholecystitis and the Impact of Serum TnI and M-CSF Levels. Journal of Guangzhou University of Traditional Chinese Medicine, 40(3): 615–620.
Han S, 2020, Observation on the Effect of Laparoscopic Surgery Combined with Modified Xiaoyan Lidan Decoction in the Treatment of Cholecystitis Accompanied by Cholelithiasis. Heilongjiang Traditional Chinese Medicine, 49(1): 13–14.
Shen L, Yuan L, Ding S, et al., 2021, Research on the Efficacy of Xiaoyan Lidan Zhitong Decoction in the Treatment of Chronic Cholecystitis and the Changes in Oxidative Stress Factors and Gallbladder Function. Chinese Journal of Traditional Chinese Medicine, 39(1): 48–50.
Shi H, Zhang S, Lin B, 2018, Clinical Effect of Modified Xiaoyan Lidan Decoction Combined with Laparoscopic Surgery in the Treatment of Cholecystitis Associated with Cholelithiasis. Chinese Contemporary Medicine, 25(8): 161–162 + 166.
Ma B, Zhang J, Huang W, 2020, Clinical Study on Modified Dachaihu Decoction in the Treatment of Cholelithiasis and Cholecystitis After Partial Gastrectomy. Journal of Beihua University (Natural Science Edition), 21(4): 518–520.