体外冲击波碎石术后配合排石汤治疗泌尿系结石40例疗效观察  

Treatment of urinary lithiasis by combination of extracorporeal shock wave lithotripsy and Paishi decoction

作　　者：陈海标[1] 

机构地区：[1]广东省东莞市长安医院中医内科,广东东莞523843

出　　处：《河北中医》2008年第8期831-832,共2页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察体外冲击波碎石术后配合排石汤治疗泌尿系结石的临床疗效。方法将80例泌尿系结石患者随机分为2组。对照组40例单纯采用体外冲击波碎石术治疗;治疗组40例在体外冲击波碎石术后加服排石汤,水煎服,日1剂。2组均10日为1个疗程,3个疗程后统计疗效。结果治疗组治愈率87.5%,总有效率95.0%,对照组治愈率67.5%,总有效率77.5%。2组治愈率、总有效率比较差异均有统计学意义(P<0.01)。第1个疗程结束时治疗组、对照组结石排净率分别72.5%(29/40)和40.0%(16/40),2组结石排净率比较差异有统计学意义(P<0.01)。结论排石汤可加速体外冲击波碎石术后结石的排出,减少复碎次数,提高排石的效率。Objective To investigate urinary lithiasis treated by combination of extracorporeal shock wave lithotripsy and Paishi decoction. Methods 80 cases with urinary lithiasis were randomly divided into two groups. Patients in control group were treated by only routine extracorporeal shock wave lithotripsy. Patients in treatment group were treated by combi- nation of extracorporeal shock wave lithotripsy and Paishi decoction. The therapeutic course was 10 days in both groups. Resuits 40 patients in treatment group, the total effective rate and cure rate were 95.0%, 87.5% ; control group were 77.5%, 67.5%. There are obvious differences between the two groups. （ P 〈 0.01）. Calculi fragmentation rate in treat- ment group （72.5%） was higher than that in control group （40.0%, P 〈0.01）. Conclusion Paishi decoction can accelerate exhaust of lithous post-extracorporeal shock wave lithotripsy, decrease number of times of lithotrity, and elevate efficiency of lithotrity.

关 键 词：尿路结石 碎石术 中药疗法 

分 类 号：R289.5[医药卫生—方剂学] R454[医药卫生—中药学]