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Ll Fangxi

( Department of Surgery, the Traditional Chinese Medicine Hospital of 

Xinyang, Xinyang 464000, China)

Abstract Objective To observing the application effects of Dachaihu decoction in laparoscopic surgery ( LC ) inpatients with acute caleulous cholecystitis. Methods 123 patients with acute caleulous cholecystitis were selected andrandomly divided into 2 groups. Both groups of patients were received LC treatment. 61 cases in the conventionalgroup were receiving conventional treatment, while 62 cases in the combined group were treated with Dachaihudecoction as an adjuvant. The improvement of symptom scores, inflammatory cells, gallbladder structuralparameters, postoperative recovery, and incidence of complications were compared between two groups of patientsResults After treatment, the scores of symptoms such as rib colic, cold and hot body, and yellow stool in the combination group were lower than those in the control group, showing a statistically significant difference ( P<0.05 ). The WBC, NE and ESR of the combined group were lower than those of the conventional group ( P<0.05 ).The gallbladder diameter, gallbladder wall thickness, and gallbladder volume fraction of the combined group werelower than those of the conventional group ( P<0. 05 ). The postoperative fever relief time, anal exhaust time,mobilization time, and hospitalization time of the combined group were all shorter than those of the conventionalgroup (P<0.05 ). The postoperative complication rate of the combined group was 8.06% lower than 21.31 % of theconventional group(P<0.05). Conclusion Dachaihu decoetion assisted LC treatment for acute caleulouscholecystitis effectively improves the clinical symptoms and inflammatory response of patients, improves gallbladderstructure , accelerates recovery process, and reduces the risk of complications.

Keywords: acute calculous cholecystitis; laparoscopic surgery; Dachaihu decoction; rehabilitation process :postoperative complications

DOI:10.19296/j.cnki.1008-2409.2024-04-024

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