坦索罗辛和山莨菪碱治疗输尿管远端结石的疗效比较  

Comparative Study of Tamsulosin versus Anisodamine for Management of Lower Ureteral Stone

作　　者：任小刚[1] 刘树硕[1] 裘顺安[1] 滕华丽[1] 

机构地区：[1]浙江省中医院泌尿外科,杭州310006

出　　处：《中国中西医结合外科杂志》2008年第4期333-334,共2页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:评价比较坦索罗辛、山莨菪碱治疗输尿管远端结石的临床效果。方法:90例输尿管远端结石的患者随机分成2组,A组用坦索罗辛0.4mg/d,B组用山莨菪碱30mg/d。均同时服用琥珀消石颗粒。结果:两组在结石排出时间、强止痛剂使用率、2周结石排出率方面比较差异有统计学意义。坦索罗辛组较山莨菪碱组有更高的排石率且排石时间短。结论:盐酸坦索罗辛对输尿管远端结石排出的作用安全有效。Objective To compare the efficacy of tamsulosin and anisodamine for the adjunctive expulsive therapy in patients with lower ureteral stones. Methods Ninety patients with lower ureteral stones （4 - 8.7 mm in diameter） were divided into 2 groups（ A and B） randomly. Group A were treated with tamsulosin （0.4 mg, once daily）, and group B received anisodamine （10 mg, 3 times daily）. All patients were adjunctively treated with Chinese herbal medicine for 2 weeks. Results Dm＇ing 2 weeks, the stone expulsive rate of the group A was higher than that of the group B, and the shorter expulsion time in group A with statistical differences （ P 〈 O. 05）. Conclusion Tamsulosin is efficient and safe in promoting lower ureteral stones expulsion.

关 键 词：输尿管结石 坦索罗辛 山莨菪碱 

分 类 号：R693.4[医药卫生—泌尿科学]