排石汤联合体外震波碎石术治疗肾结石临床观察  

Paishi Decoction Combined with Extracorporeal Shock Wave Lithotripsy in the Treatment of Kidney Stones

作　　者：陈建勇[1] 龚江南[1] CHEN Jianyong;GONG Jiangnan(Department of Urology,People’s Hospital of Xuecheng District,Shandong Province,Zaozhuang 277000,China)

机构地区：[1]枣庄市薛城区人民医院泌尿外科,山东枣庄277000

出　　处：《中国中医药现代远程教育》2024年第7期131-133,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨对肾结石患者采用排石汤联合体外震波碎石术的临床效果。方法对2020年4月—2021年5月就诊的88例肾结石患者依据疗法的不同分组,即实施体外震波碎石术治疗的参照组44例,实施排石汤联合体外震波碎石术治疗的研究组44例。比较治疗效果。结果研究组的总有效率95.45%(42/44)高于参照组的75.00%(33/44)(P<0.05);研究组平均碎石次数少于参照组,平均排石时间短于参照组(P<0.05);且研究组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平较参照组更低(P<0.05)。结论排石汤与体外震波碎石术联合应用,较体外震波碎石术单用效果更佳,可促进肾结石患者预后改善。Objective To explore the clinical effect of Paishi decoction combined with extracorporeal shock wave lithotripsy for pa-tients with kidney stones.Methods A total of 88 patients with kidney stones from People’s Hospital of Xuecheng District were selected from April 2020 to May 2021.They were divided according to the different renal stone treatments,including the control group with 44 cases of ESWL treatment and the study group with 44 cases of Chinese medicine Paishi decoction combined with ESWL treatment.The therapeutic effect was compared between the two groups.Results The total effective rate of 95.45%(42/44)of the study group was higher than that of the control group(75.00%,33/44)(P<0.05).The average number of lithotripsy in the study group was less than that in the control group and the average stone removal time of the study group was shorter than that of the control group(P<0.05).The levels of IL-6 and TNF-αin the study group were lower than those in the control group(P<0.05).Conclusion Compared with ESWL alone,the combined application of Paishi decoction and ESWL has better effect and can improve the prognosis of patients with kidney stones.

关 键 词：肾结石 排石汤 体外震波碎石术 中西医结合疗法 

分 类 号：R699.2[医药卫生—泌尿科学]