中西医结合治疗泌尿系结石的疗效观察  

Observation on the Therapeutic Effect of Combination of Traditional Chinese and Western Medicine in the Treatment of Urinary Calculi

作　　者：叶秋菊 YE Qiu-ju(Taizhou Hospital of Traditional Chinese Medicine,Taizhou 225300,China)

机构地区：[1]泰州市中医院,江苏泰州225300

出　　处：《内蒙古中医药》2024年第1期10-12,共3页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:评价三金排石汤配合体外冲击波碎石术治疗输尿管上段结石的临床疗效。方法:选取我院2022年4月-2023年4月收治的60例输尿管上段结石患者作为研究对象,依照掷骰子法均匀分组,各30例。手术组开展体外冲击波碎石术治疗,联合组开展体外冲击波碎石术配合三金排石汤治疗。评析治疗前后的疼痛评分、时间指标、临床疗效、并发症发生情况。结果:对比疼痛评分,治疗前两组差异无统计学意义(P>0.05);治疗后联合组低于手术组(P<0.05)。对比时间指标,治疗后联合组短于手术组(P<0.05)。对比临床疗效,治疗后联合组高于手术组(P<0.05)。对比并发症发生情况,治疗后联合组略少于手术组,但差异无统计学意义(P>0.05)。结论:应用体外冲击波碎石术配合三金排石汤治疗,可以使输尿管上段结石患者的疼痛现象减轻,同时,还可提高临床疗效,加快结石排到体外,且并发症较少。Objective:To evaluate the clinical efficacy of Sanjin Paishi decoction combined with extracorporeal shock wave lithotripsy in the treatment of upper ureteral calculi.Methods:60 patients with upper ureteral calculi treated in our hospital from April 2022 to April 2023 were randomly divided into two groups according to the method of rolling dice.The operation group was treated with extracorporeal shock wave lithotripsy,and the combined group was treated with extracorporeal shock wave lithotripsy combined with Sanjin Paishi de--coction.The pain score,time index,clinical efficacy and complications before and after treatment were evaluated.Results:Compared with the pain score,there was no significant dfference between the two groups before treatment(P>0.05),but it was lower in the combination group than in the operation group after treatment(P<0.05).Compared with the time index,the time index of the combined group was shorter than that of the operation group(P<0.05).Compared with the clinical curative effect,the clinical effect in the combined group was higher than that in the operation group(P<0.05).Compared with the occurrence of complications,the incidence of complications in the combined group was slightly less than that in the operation group,but the difference was not statistically significant(P>0.05).Conclusion:The application of extracorporeal shock wave lithotripsy combined with Sanjin Paishi decoction can not only reduce the pain of patients with upper ureteral calculi,but also improve the clinical effect,accelerate the excretion of stones to the body,and have fewer complications.

关 键 词：体外冲击波碎石术 三金排石汤 输尿管上段结石 疼痛评分 时间指标 临床疗效 

分 类 号：R691.4[医药卫生—泌尿科学]