陈皮汤加减对经自然腔道的输尿管镜碎石术患者的影响  

Effect of Modified Chenpi Decoction on Patients Undergoing Ureteroscopic Lithotripsy through Natural Channels

作　　者：廖芝健 周均洪 唐炎权 欧阳孔权 尹伟强 冯万利 LIAO Zhijian;ZHOU Junhong;TANG Yanquan;OUYANG Kongquan;YIN Weiqiang;FENG Wanli(Jiangmen Wuyi Hospital of Traditional Chinese Medicine,Jiangmen 529000,China;不详)

机构地区：[1]江门市五邑中医院,广东江门529000

出　　处：《中外医学研究》2024年第1期19-23,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：江门市医疗卫生领域科技计划项目(2022YL03010)。

摘　　要：目的:探究陈皮汤加减对经自然腔道的输尿管镜碎石术患者的影响。方法:选取2022年6—12月江门市五邑中医院泌尿外科收治的120例上尿路结石患者,按照计算机生成随机数表法分为对照组和观察组,各60例。对照组予以经自然腔道的输尿管镜碎石术,观察组在对照组的基础上给予陈皮汤加减。观察两组术后消化道功能障碍情况、肠积气情况及肝肾功能情况。结果:观察组消化功能功能障碍发生率为16.67%,显著低于对照组的63.33%,差异有统计学意义(P<0.05)。观察组轻度积气患者多于对照组,重度积气患者明显少于对照组,差异有统计学意义(P<0.05)。术后1 d,两组肝肾功能指标比较,差异无统计学意义(P>0.05);术后3 d,两组血清肌酐、血尿酸、谷丙转氨酶及白蛋白水平明显低于术后1 d,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:陈皮汤加减可明显改善行经自然腔道的输尿管镜碎石术患者的消化道功能,降低消化道功能障碍的发生率,缓解患者肠积气情况,改善患者的肝肾功能情况。Objective:To effect of modified Chenpi Decoction on patients undergoing ureteroscopic lithotripsy through natural channels.Method:A total of 120 patients with upper urinary tract stones admitted to the Department of Urology of Jiangmen Wuyi Hospital of Traditional Chinese Medicine from June to December 2022 were selected and divided into control group and observation group according to computer-generated random number method,with 60 cases in each group.The control group was treated with ureteroscopic lithotripsy through natural channels,and the observation group was treated with modified Chenpi Decoction on the basis of control group.The gastrointestinal dysfunction,intestinal gas and liver and kidney function of the two groups were observed.Result:The incidence of digestive tract dysfunction in the observation group was 16.67%,which was lower than 63.33%in the control group,and the difference was statistically significant(P<0.05).The patients with mild pneumatosis in the observation group were more than those in the control group,and the patients with severe pneumatosis were significantly less than those in the control group,the differences were statistically significant(P<0.05).At 1 d after surgery,there were no significant differences in liver and kidney function between the two groups(P>0.05).At 3 d after surgery,the levels of serum creatinine,serum uric acid,alanine aminotransferase and albumin in two groups were significantly lower than those at 1 d after surgery,and the levels in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Modified Chenpi Decoction can significantly improve the digestive tract function of patients undergoing ureteroscopic lithotripsy through natural channels,reduce the incidence of digestive tract dysfunction,relieve intestinal gas and improve the liver and kidney function of patients.

关 键 词：上尿路结石 经自然腔道内镜技术 陈皮汤 消化道功能障碍 肝肾功能 

分 类 号：R277.5[医药卫生—中医学]