中西医结合综合防治输尿管结石的临床疗效观察与分析  

Observation and Analysis on Clinical Effect of Integrated Traditional Chinese and Western Medicine for Prevention and Treatment of Ureteral Calculi

作　　者：杨明 陈佳佳[1] 朱红 叶和松[1] 秦远[1] 唐龙龙 龚文涛 YANG Ming;CHEN Jia-jia;ZHU Hong(Department of Urology,Jiangsu Province Second Hospital of Traditional Chinese Medicine,the Second Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing(210000),China)

机构地区：[1]江苏省第二中医院(南京中医药大学第二附属医院),南京210000

出　　处：《中国中西医结合外科杂志》2020年第2期313-318,共6页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：2016年江苏省高层次卫生人才“六个一工程”项目(LGY2016027);2018年江苏省第二中医院院内课题(SEZJJP2018022)。

摘　　要：目的:评价输尿管结石中西医结合防治临床路径的实施效果。方法:选择2017年7月—2018年12月在江苏省第二中医院泌尿外科住院且符合纳入标准并接受中西医结合输尿管结石防治临床路径的患者,其中治疗组35例,根据输尿管结石防治临床路径治疗,对照组35例接受常规治疗。两组患者中医临床疗效、住院时间、住院费用、手术时间、术后清石率、手术前后炎性指标改变、患者的满意度、疾病知晓度、改善愈后等方面进行比较研究。结果:临床疗效:治疗组(94.3%)显著优于对照组(80%),差异有统计学意义(P<0.05);同时,治疗组在手术时间、住院天数、术后炎性指标:白细胞计数、C反应蛋白(CRP)、降钙素原(PCT)改变、术后1天清石率、术后1年结石复发率均显著优于对照组,差异有统计学意义(P<0.05);住院总费用、抗生素和药物费用上治疗组明显低于对照组,差异具有统计学意义(P<0.05);在患者满意度及对疾病掌握程度治疗组优于对照组,差异具有统计学意义(P<0.05);围手术期并发症两组无统计学差异(P>0.05)。结论:输尿管结石中西医结合防治临床路径指导治疗,可以提高临床疗效,减少抗生素和西药使用,促进恢复,降低总费用,提高患者满意度和对疾病的知晓度。Objective To evaluate the effect of the clinical pathway of integrated traditional Chinese and Western medicine for the prevention and treatment of ureteral calculi Methods From July 2017 to December 2018,the patients,who were hospitalized in the urology department of the Second Hospital of Traditional Chinese Medicine of Jiangsu Province and met the inclusion criteria and accepted the clinical pathway of prevention and treatment of ureteral calculi by integrated traditional Chinese and Western medicine,were selected.Among them,35 cases in the treatment group were treated according to the clinical pathway of prevention and treatment of ureteral calculi,and 35 cases in the control group were treated by routine treatment.The two groups were compared in clinical effect,hospitalization time,hospitalization cost,operation time,stone removal rate after operation,changes of inflammatory index before and after operation,patients’satisfaction,disease awareness and improvement after treatment.Results The clinical effect:the treatment group(94.3%)was significantly better than the control group(80%),the difference was statistically significant(P<0.05);the treatment group was significantly lower than the control group in the total cost of hospitalization,antibiotics and drug costs(P<0.05);the treatment group was better than the control group in patients’satisfaction and disease mastery degree(P<0.05);there was no statistical difference in perioperative complications between the two groups(P>0.05).Conclusion The integrated traditional Chinese and Western medicine in the prevention and treatment of ureteral calculi can improve the clinical efficacy,reduce the use of antibiotics and Western medicine,promote recovery,reduce the total cost,and improve the patients’satisfaction and awareness of the disease.

关 键 词：输尿管结石 中西医结合 临床路径 临床疗效 

分 类 号：R693.4[医药卫生—泌尿科学]