自拟排石汤联合体外冲击波碎石术治疗1.5~10.0 mm单侧输尿管结石患者的效果  

Effects of self-made Paishi decoction combined with extracorporeal shock wave lithotripsy in treatment of patients with 1.5-10.0 mm unilateral ureteral calculi

作　　者：刘克旭[1] LIU Kexu(Department of Urology of the Central Hospital of Jiamusi City,Jiamusi 154002 Heilongjiang,China)

机构地区：[1]佳木斯市中心医院泌尿外科,黑龙江佳木斯154002

出　　处：《中国民康医学》2021年第22期113-115,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察自拟排石汤联合体外冲击波碎石术治疗1.5~10.0 mm单侧输尿管结石患者的效果。方法:选取80例单侧输尿管结石患者作为研究对象,按照随机数字表法分为对照组和观察组各40例。对照组实施体外冲击波碎石术治疗,观察组在对照组的基础上联合自拟排石汤治疗,比较两组临床疗效、首次结石排出时间和并发症/不良反应发生率。结果:观察组治疗总有效率为97.50%,高于对照组的80.00%,差异有统计学意义(P<0.05);观察组首次结石排出时间短于对照组,差异有统计学意义(P<0.05);观察组并发症/不良反应发生率为0,低于对照组的15.00%,差异有统计学意义(P<0.05)。结论:自拟排石汤联合体外冲击波碎石术治疗1.5~10.0 mm单侧输尿管结石患者,可提高治疗总有效率,缩短首次结石排出时间,降低并发症/不良反应发生率,效果优于单纯体外冲击波碎石术治疗。Objective:To observe effects of self-made Paishi decoction combined with extracorporeal shock wave lithotripsy in treatment of patients with 1.5-10.0 mm unilateral ureteral calculi.Methods:80 patients with unilateral ureteral calculi were selected as the research objects,and were divided into control group and observation group according to the random number table method,each with 40 cases.The control group was treated with extracorporeal shock wave lithotripsy,while the observation group was combined with self-made Paishi decoction on the basis of the control group.The clinical efficacy,the first calculi discharge time and the incidence of complications/adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group was 97.50%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).The first stone excretion time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications/adverse reactions in the observation group was 0,which was lower than 15.00%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Self-made Paishi decoction combined with extracorporeal shock wave lithotripsy in the treatment of thepatients with 1.5-10.0 mm unilateral ureteral calculi can increase the total effective rate of treatment,shorten the first calculi discharge time,and reduce the incidence of complications/adverse reactions.Moreover,it is superior to single extracorporeal shock wave lithotripsy treatment.

关 键 词：体外冲击波碎石术 自拟排石汤 输尿管结石 并发症/不良反应 

分 类 号：R693[医药卫生—泌尿科学]