What is the treatment for calculous cholecystitis

Patients with calculous cholecystitis can use some diuretic treatments, which include the use of some drugs, such as azintamide, which can promote bile synthesis and secretion, or some acupuncture therapies can help relieve the symptoms.

(1) Dietary adjustment: The incidence of gallstones and chronic calculous cholecystitis is related to diet and obesity. It is recommended to have a regular, low-fat, low-calorie diet, and to encourage regular eating at regular times and in fixed quantities.

(2) Choleretic treatment: ① Ursodeoxycholic acid: The use of ursodeoxycholic acid helps reduce the risk of biliary pain, avoid the occurrence of acute cholecystitis, and improve gallbladder smooth muscle contractility and inflammatory infiltration. ② Azintamide can promote bile synthesis and secretion, while increasing the activity of pancreatic enzymes and promoting the absorption of carbohydrates, fats and proteins. Compound azintamide enteric-coated tablets can promote bile secretion and slightly promote biliary motility while helping to improve symptoms such as indigestion. ③ Anetholethiocarbamide has a bile secretion-promoting and mild biliary motility-promoting effect.

(3) Preventive cholecystectomy: ① People at high risk of gallbladder cancer; ② Patients with immunosuppression after organ transplantation; ③ Patients with rapid weight loss; ④ Those with an increased risk of gallbladder cancer due to "porcelain" gallbladder.

(4) Antispasmodic and analgesic for biliary colic during acute attacks of chronic cholecystitis. You can take 0.6 mg of nitroglycerin sublingually, or inject 0.5 mg of atropine intramuscularly, and you can inject 25 mg of promethazine intramuscularly at the same time. The analgesic pethidine 50-100 mg is injected intramuscularly and combined with antispasmodics to enhance the analgesic effect.

(5) Relieve symptoms of biliary dyspepsia. Inflammatory stimulation and chronic fibrosis of the gallbladder wall are common in chronic cholecystitis, which can easily lead to dyspepsia symptoms in patients. For patients with dyspepsia and clear gallstones, 10% to 33% of symptoms can be relieved after cholecystectomy.

(6) Anti-infection treatment: The rational use of antibiotics in the treatment of chronic cholecystitis biliary infection is of great significance based on the bile culture results, infection severity, antibiotic resistance and antimicrobial spectrum, and underlying diseases of the patient, especially those with liver and kidney damage.

(7) Traditional Chinese medicine has a long history in the treatment of cholecystitis. Choleretic Chinese medicine can be selected based on the patient’s clinical manifestations. Acupoints commonly used in acupuncture treatment include Gallbladder, Gallbladder, Yanglingquan, Qimen, Zusanli, etc.