【摘要】 目的：探讨小柴胡汤对胆囊结石伴胆囊炎患者术后康复进程及并发症的影响。方法：择取2022年12月—2023年12月江西省中西医结合医院收治的90例行腹腔镜下胆囊切除术的胆囊结石伴胆囊炎患者，用随机数字表法分成两组，各45例。对照组术后予常规治疗，研究组在对照组基础上予小柴胡汤治疗。比较两组术后康复进程、炎症因子水平、氧化应激指标和并发症发生情况。结果：研究组排气时间、进食时间、腹胀及肠鸣音缓解时间均短于对照组，白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、活性氧(ROS)及并发症发生率均低于对照组，白细胞介素-10(IL-10)、谷胱甘肽过氧化物酶(GSH-Px)、超氧化物歧化酶(SOD)均高于对照组，差异均有统计学意义(Plt;0.05)。结论：小柴胡汤用于胆囊结石伴胆囊炎患者腹腔镜下胆囊切除术后能减轻炎症及氧化应激反应，减少并发症发生，缩短康复进程。

    【关键词】 胆囊结石伴胆囊炎 腹腔镜下胆囊切除术 小柴胡汤 并发症

    Effect of Xiaochaihu Decoction on the Recovery Process and Complications of Patients with Cholecystlithiasis and Cholecystitis after Laparoscopic Cholecystectomy/ZHANG Yong， WAN Yajie， FAN Qiuling， SHANG Longhua. //Medical Innovation of China， 2025， 22(04)： 0-089

    [Abstract] Objective： To investigate the effect of Xiaochaihu Decoction on Postoperative Rehabilitation and Complications in Patients with cholecystolithiasis and cholecystitis after laparoscopic cholecystectomy. Method： A total of 90 patients with cholecystolithiasis and cholecystitis after laparoscopic cholecystectomy admitted to Jiangxi Province Integrated Traditional Chinese and Western Medicine Hospital from December 2022 to December 2023 were selected and divided into two groups by random number table method ......