盐酸坦索罗辛联合荡石胶囊治疗ESWL术后残石的随机对照临床研究  

A randomized controlled trial of tamsulosin hydrochloride combined with dangshi capsule in the treatment post-residual stones in patients treated with ESWL

作　　者：祖雄兵[1] 崔雨[1] 陈金波[1] 李超[1] 程序[1] Zu Xiongbing;Cui Yu;Chen Jinbo;Li Chao;Cheng Xu(Department of Urology,Xiangya Hospital of Central South University 410008)

机构地区：[1]中南大学湘雅医院泌尿外科,410008

出　　处：《中国社区医师》2018年第9期100-100,102,共2页Chinese Community Doctors

摘　　要：目的:探讨盐酸坦索罗辛联合荡石胶囊治疗ESWL术后残石的临床效果。方法:收治行ESWL治疗输尿管结石的患者,随机分两组。试验组采用盐酸坦索罗辛联合荡石胶囊,对照组单用盐酸坦索罗辛。随访30 d,对比两组排石率、肾绞痛和发热情况。结果:试验组中30 d内排出所有结石25例(89%),对照组23例(77%),差异有统计学意义(P<0.05)。随访过程中试验组5例、对照组8例因再发肾绞痛就诊。对照组在ESWL术后1周出现发热伴患侧腰痛1例。结论:ESWL术后应用盐酸坦索罗辛联合荡石胶囊可明显增加术后排石率和降低肾绞痛的发生率。Objective:To investigate the effect of tamsulosin hydrochloride combined with dangshi capsule in the treatment post-residual stones in patients treated with ESWL.Methods:Patients with ureteral calculi treated with ESWL were selected.They were randomly divided into the two groups.The experimental group used tamsulosin hydrochloride combined with dangshi capsule.The control group was treated with tamsulosin hydrochloride.They were all followed-up for 30 d,and the rate of stone removal,renal colic and fever in the two groups were compared.Results:In the experimental group,25 cases(89%)expelled all stones in 30 d,and 23 cases in the control group(77%),and the difference was statistically significant(P<0.05).5 cases in the experimental group and 8 cases in the control group were diagnosed with recurrent renal colic during the follow-up process.In the control group,1 case of fever accompanied with lateral lumbago were found at 1 week after ESWL.Conclusion:The application of tamsulosin hydrochloride combined with dangshi capsule after ESWL can significantly increase the rate of postoperative stone extraction and renal colic.

关 键 词：盐酸坦索罗辛 荡石胶囊 ESWL术后残石 

分 类 号：R699.4[医药卫生—泌尿科学]