利胆排石汤等中药对胆道运动影响的观察

作者	单位
邓学稼	上海第一医学院华山医院外科
吴盾利	上海市第六人民医院外科
王贞榆	上海第一医学院华山医院外科
蔡端	上海第一医学院华山医院外科
陈星荣	上海第一医学院华山医院放射科
蔡佩武	上海第一医学院华山医院放射科

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中文摘要:

本文报告130例应用电视 X 线放射术动态观察胆道运动的结果。排胆动作表现为胆总管末端括约肌周期性、节律性的舒缩活动,平均排胆频率6次/分。括约肌收缩运动形式以向心性收缩最常见(92%),鱼嘴样开合运动(8%);十二指肠运动频率4～10次/分。对照研究结果证实,利胆排石汤和大承气汤有明显促进排胆功能的效应(P<0.001;P<0.01),为中医中药治疗胆石症提供现代医学的生理基础。

英文摘要:

Video-cholangiographic studies on dynamics of the bitiary system were performed in 130 patients.The periodic and rhythmic contractions and relaxations of sphincterie segment at terminal common duct represented the major activities of the biliary system.Contractions in most cases(92%)began distally at the papilla and progressed proximally,producing various appearances at distal common duct;a motion like fish mouth opening and closure was also seen(8%).The frequency of spurts of bile into duodenum was 4-8 times per minute.Duodenal peristalsis was often,but not always,associated with sphincteric activity. The studies of the control demonstrated that after oral administration of Li Dart Pai, Shi Decoctions and Da Cheng Qi Decoctions(大承气汤),the intervals between contracts were shortened and the opening of sphincter was prolonged.Meanwhile,the synergic movement became more frequent.It facilitated the flow of bile.

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