四金排石汤联合体外冲击波碎石治疗泌尿系结石75例  

Seventy-Five Cases with Urinary Calculus Treated with Sijin Paishi Decoction Combined with ESWL

作　　者：袁巍 董德河[2] 陈洪波 胡晓辉 兰勇 陈苏 江克华 向小龙 

机构地区：[1]恩施州中心医院,湖北恩施445000 [2]武汉市黄陂区人民医院,湖北武汉430300

出　　处：《河南中医》2016年第7期1196-1198,共3页Henan Traditional Chinese Medicine

基　　金：湖北省恩施州课题成果(编号:ESKC14022)

摘　　要：目的:观察四金排石汤联合体外冲击波碎石治疗泌尿系结石的临床疗效。方法:将147例泌尿系结石患者随机分为对照组72例和观察组75例。对照组采用体外冲击波碎石治疗,观察组在对照组治疗基础上加用四金排石汤治疗。比较两组患者的临床疗效,术后并发症发生率及术后1年复发率。结果:观察组有效率93.33%,对照组有效率为75.0%,两组有效率比较,差异具有统计学意义(P<0.05)。观察组术后并发症发生率为21.33%,对照组术后并发症发生率为36.11%,两组患者并发生发生率比较,差异具有统计学意义(P<0.05)。观察组术后1年复发率为6.67%,对照组的复发率为20.83%,两组患者复发率比较,差异具有统计学意义(P<0.05)。结论:四金排石汤联合体外冲击波碎石治疗泌尿系结石疗效显著,且术后并发症和术后1年复发较低。Objective：To observe the clinical effects of Sijin Paishi Decoction combined with ESWL on urinary calculus. Methods： Totally 147 patients with urinary calculus were randomly divided into control group （72 cases） and observation group （75 cases）. Control group were given ESWL treatment while observation group were added with Sijin Paishi Decoction. The clinical effects, complications after operation and the recurrence rate one year after the operation in the two groups were compared. Resuits：The effective rate was 93.33% in observation group and 75.0% in control group;the difference had statistical significance （ P 〈 0.05 ）. The occurrence rate of complications was 21.33 % in observation group and 36.11% in control group;the difference had statistical significance （ P 〈 0.05 ）. Tile recurrence rate one year after the surgery m observation group was 6.67% in observation group and 20.83 % in control group;the difference had statistical significance （P 〈 0.05 ）. Conclusion ：Sijin Paishi Decoction combined with ESWL has remarkable therapeutic effects on urinary calculus. The recurrence rate of the complications after operation and one year after operation is low.

关 键 词：泌尿系结石 四金排石汤 体外冲击波 

分 类 号：R277.591.4[医药卫生—中医学]