清热通淋排石法联合体外冲击波碎石治疗输尿管结石的临床研究

发布时间：2018-09-10 07:35

【摘要】：目的:观察采用清热利湿,通淋排石的石苇散加减治疗输尿管结石的临床疗效。方法:将80例符合诊断标准的输尿管结石患者随机分为两组,对照组和治疗组分别为40例,两组患者无显著差异,具有可比性。两组都给予多饮水,适当运动,缓解肾绞痛,体外冲击波碎石等基础治疗,在此基础上,对照组给予口服盐酸坦索罗辛缓释胶囊治疗,治疗组给予石苇散加减进行治疗。治疗14 d,观察治疗后两组患者的结石排出时间、碎石成功率、结石排净率、肾绞痛发生率、VAS疼痛评分及临床疗效。结果:治疗组和对照组患者的碎石成功率相同,治疗组患者的结石排出时间,肾绞痛发生率和VAS疼痛评分显著低于对照组;治疗组患者结石排净率和治愈率显著高于对照组。结论:清热利湿、通淋排石中药联合体外冲击波碎石治疗输尿管结石患者可取得较好的临床疗效。
[Abstract]:Objective: to observe the clinical effect of treating ureteral calculi by adding and subtracting Shiwei Powder with clearing heat and dampness. Methods: 80 patients with ureteral calculi who met the diagnostic criteria were randomly divided into two groups: the control group (40 cases) and the treatment group (40 cases). There was no significant difference between the two groups. Both groups were given drinking water, proper exercise, renal colic relief, extracorporeal shock wave lithotripsy and other basic treatment. On this basis, the control group was treated with oral tansoroxine hydrochloride sustained release capsule, and the treatment group was treated with Shiwei powder plus or minus. After 14 days of treatment, the time of stone excretion, the success rate of lithotripsy, the rate of stone removal, the incidence of renal colic, the pain score of VAS and the clinical efficacy were observed. Results: the success rate of lithotripsy in the treatment group and the control group was the same. The stone excretion time, the incidence of renal colic and the VAS pain score in the treatment group were significantly lower than those in the control group, and the stone drainage rate and cure rate in the treatment group were significantly higher than those in the control group. Conclusion: the treatment of ureteral calculi with traditional Chinese medicine combined with extracorporeal shock wave lithotripsy is effective.
【作者单位】：杭州师范大学附属医院泌尿外科;
【分类号】：R691.4

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