体外碎石联合中药排石治疗泌尿系结石的临床效果  

Clinical Effect of external lithotripsy combined with traditional Chinese medicine lithotripsy in the treatment of urinary calculi

作　　者：王贵林 WANG Guilin(Department of Lithotripsy,Fushun Hospital of Traditional Chinese Medicine,Liaoning Province,Fushun 113008,China)

机构地区：[1]辽宁省抚顺市中医院碎石科,辽宁抚顺113008

出　　处：《中国医药导报》2021年第15期88-91,共4页China Medical Herald

基　　金：国家卫健委“十三五”规划重点项目(NHFPC102018)。

摘　　要：目的探讨体外碎石联合中药排石治疗泌尿系结石的临床效果。方法选择辽宁省抚顺市中医院2016年8月—2020年8月,接受体外冲击波碎石治疗的患者646例,将所有患者采用随机数字表法分为观察组和对照组,各323例。对照组均采用深圳新元素SYS.SUI-6X体外冲击波碎石机进行碎石治疗,术后嘱患者多活动、多饮水。观察组在对照组基础上,给予中药四号排石冲剂辅助排石,服用2个疗程。比较两组治疗结束后总有效率、结石排净率、结石排净时间、止痛时间、12个月后复发率及不良反应发生率。结果观察组治疗总有效率显著高于对照组,差异有高度统计学意义(P<0.01)。第一疗程结石排净率观察组高于对照组,差异有高度统计学意义(P<0.01);第二疗程两组结石排净率比较,差异无统计学意义(P>0.05)。观察组结石排净时间、止痛时间明显短于对照组,差异有高度统计学意义(P<0.01)。两组12个月后复发率比较,差异无统计学意义(P>0.05)。观察组疼痛与发热发生率明显低于对照组,差异有高度统计学意义(P<0.01)。结论体外碎石结合中药排石,能让治疗更加具有针对性,提高排石率、减少病发症、安全有效,值得临床推广。[Objective]To investigate the clinical efficiency of external lithotripsy combined with traditional Chinese medicine lithotripsy in the treatment of urinary calculi.Methods A total of 646 patients who received extracorporeal shock wave lithotripsy lithotripsy in Fushun Hospital of Traditional Chinese Medicine of Liaoning Province from August 2016 to August 2020 were selected.All patients were divided into observation group and control group by random number table method,with 323 cases in each group.The control group was treated with Shenzhen new element SYS.SUI-6X extracorporeal shock wave lithotripsy,and the patients were told to take more activities and drink more water after surgery.On the basis of control group,observation group was given Chinese medicine No.4 Paishi Granule to assist in removing stones for two courses.Total effective rate,stone clearance rate,stone clearance time,analgesic time,recurrence rate after 12 months and incidence of adverse reactions were compared between the two groups after treatment.Results The total effective rate of the observation group was significantly higher than that of the control group,and the difference was highly statistically significant(P<0.01).The stone clearance rate of the first course of treatment in the observation group was higher than that in the control group,and the difference was highly statistically significant(P<0.01).There was no significant difference in stone clearance rate between the two groups in the second course of treatment(P>0.05).The stone clearance time and analgesic time in the observation group were significantly shorter than those in the control group,and the difference was highly statistically significant(P<0.01).There was no significant difference in the recurrence rate between the two groups after 12 months(P>0.05).The incidence rate of pain and fever in the observation group was significantly lower than that in the control group,the difference was highly statistically significant(P<0.01).Conclusion External lithotripsy combined with tr

关 键 词：体外碎石 中药排石 结石排净率 有效率 排净时间 

分 类 号：R691.4[医药卫生—泌尿科学]