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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 2
Feb.  2017
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Article Contents

Clinical effect of integrated traditional Chinese and Western medicine therapy in treatment of biliary ascariasis

DOI: 10.3969/j.issn.1001-5256.2017.02.023
  • Received Date: 2016-08-17
  • Published Date: 2017-02-20
  • Objective To investigate an effective method for the treatment of biliary ascariasis.Methods A retrospective analysis was performed for the clinical data of 32 patients with biliary ascariasis who were treated in The People's Hospital of Huangmei County from January1994 to January 2014.All the patients were given spasmolysis,pain management,anti- infective therapy,traditional Chinese medicine syndrome differentiation- based treatment,Chinese materia medica for regulating qi and relieving pain,and ascariasis- relieving and parasite- expelling treatment.Patients were given surgical treatment due to poor response.Results Of all the 32 patients,5( 15.6%) had no response to the ascariasis- relieving treatment with Fructus Pruni Mume decoction and were given surgical treatment,and 27( 84.4%) were cured by Western medicine combined with Fructus Pruni Mume decoction.There were no complications such as acute pancreatitis,perforation of the gallbladder,and liver abscess.All the patients were treated with Fructus Pruni Mume decoction regularly after discharge and no patient experienced recurrence.Conclusion Integrated traditional Chinese and Western medicine therapy is effective,safe,and reliable in the treatment of biliary ascariasis and holds promise for clinical application.

     

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  • [1]LIU R,PI Y,LI YP.Clinical effect of Yinmei Dahuang decoction in treatment of biliary ascariasis:an analysis of 42 cases[J].Jiangxi JTradit Chin Med,2015,46(7):50.(in Chinese)刘睿,皮鹰,李拥平.茵梅大黄汤治疗胆道蛔虫42例[J].江西中医药,2015,46(7):50.
    [2]HUANG ZQ,PU YD,SHI XJ,et al.Handbook of general surgery(Pocket book series for clinical physicians)[M].Tianjin:Tianjin Science and Technology Press,2006:461-462.(in Chinese)黄志强,蒲永东,史宪杰,等.普外科手册(临床医师口袋丛书)[M].天津:天津科学技术出版社,2006:461-462.
    [3]JETHWANI U,SINGH GJ,SARANGI P,el al.Laproscopic management of wandering biliary ascariasis[J].Case Rep Surg,2012,2012:561563.
    [4]GUPTA M,GUPTA R.Biliary ascariasis causing gallbladder stump cholecystitis[J].Indian J Gastroenterol,2014,33(1):96-97.
    [5]KONG J,WU SD.Comprehensive review of strategiesfor diagnosis and treatment of hepatolithiasis[J].J Clin Hepatol,2013,29(3):163-165.(in Chinese)孔静,吴硕东.肝内外胆管结石的综合诊断与治疗[J].临床肝胆病杂志,2013,29(3):163-165.
    [6]SHAH OJ,ZARGAR SA,ROBBANI I.Biliary ascariasis:a review[J].World J Surg,2006,30(8):1500-1506.
    [7]XIAO LL,WANG YP,REN SY.Color doppler ultrasound diagnosis of biliary ascariasis[J].Jiangxi Med J,2011,46(3):280.(in Chinese)肖立禄,王永平,任善殷.彩色多普勒超声诊断胆道蛔虫病分析[J].江西医药,2011,46(3):280.
    [8]DUAN CX,WANG PJ,LI JD.Hepatopancreatobiliary imaging[M].Shanghai:Shanghai Science and Technology Literature Publishing House,2004:193.(in Chinese)段承祥,王培军,李健定.肝胆胰影像学[M].上海:上海科学技术文献出版社,2004:193.
    [9]LU Y,HONG W,LU L,et al.Clinical application of MR cholangiopancreatography[J].Chin J Radiol,1997,32(2):663-667.(in Chinese)卢延,洪闻,陆立,等.磁共振胰胆管造影的临床应用[J].中华放射学杂志,1997,32(2):663-667.
    [10]REINHOLD C,BRET PM.Cirret status of MR cholangiopancreatography[J].AJR,1996,166(6):1287-1303.
    [11]FU ZY,XU J.An overview of treatment of biliary ascariasis in recent years in China[J].Chin J Parasitic Dis,1998,11(3):220.(in Chinese)傅兆义,徐静.我国胆道蛔虫病近年来治疗概述[J].中国寄生虫防治杂志,1998,11(3):220.
    [12]LIU F,XIE M,ZHU LY.A study on modern indications of Fructus Pruni Mume pills[J].J Beijing Univ Tradit Chin Med:Clin Med,2011,18(4):37.(in Chinese)刘芳,谢鸣,朱丽瑶.乌梅丸现代主治病症的研究[J].北京中医药大学学报:中医临床版,2011,18(4):37.
    [13]LI JL,HE P,ZHANG FX,et al.Report of the 67 cases with biliary duct roundworm treated by traditional Chinese and Western medicine[J].China Med Herald,2009,28(6):86-87.(in Chinese)李金龙,何平,张福鑫,等.中西医结合治疗胆道蛔虫症67例报告[J].中国医药导报,2009,28(6):86-87.
    [14]YUAN YM.An overview of chemical components and pharmacological effects of Fructus Pruni Mume[J].Chin J Med Guide,2008,10(5):793-794.(in Chinese)邧毅铭.乌梅的化学成分及药理作用概述[J].中国医药导刊,2008,10(5):793-794.
    [15]Study Group on Fructus Pruni Mume Pill in Fu'an Hospital.Mechanism of action of Fructus Pruni Mume pills in treatment of biliary ascariasis:a test report[J].Fujian J Tradit Chin Med,1960,6:28-29.(in Chinese)福安专区医院乌梅丸研究小组.乌梅丸治疗胆道蛔虫病作用机制的实验报告[J].福建中医药,1960,6:28-29.
    [16]WU ZD.Surgery[M].Beijing:People's Medical Publishing House,2000:629.(in Chinese)吴在德.外科学[M].北京:人民卫生出版社,2000:629.
    [17]LIU K,ZHANG W,ZHOU Q,et al.Efficacy of duodenoscopic treatment of biliary ascariasis while preserving function of duodenal sphincter:a report of 69 cases[J].J Clin Hepatol,2014,30(7):653-655.(in Chinese)刘凯,张威,周强,等.十二指肠镜下保留乳头括约肌功能治疗胆道蛔虫病69例疗效观察[J].临床肝胆病杂志,2014,30(7):653-655.
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