基于中医体质辨识及结石成分分析对复发性尿结石干预的临床研究  

Clinical study on intervention of recurrent urinary calculi based on traditional Chinese medicine constitution identification and stone composition analysis

作　　者：黄新凯[1] 赖海标[1] 钟喨[1] 黄智峰[1] HUANG Xinkai;LAI Haibiao;ZHONG Liang;HUANG Zhifeng(Zhongshan Traditional Chinese Medicine Hospital,Zhongshan,Guangdong 528400,China)

机构地区：[1]中山市中医院,广东中山528400

出　　处：《现代医药卫生》2025年第4期861-864,869,共5页Journal of Modern Medicine & Health

基　　金：广东省中山市科研项目(2022J046)。

摘　　要：目的探讨基于中医体质辨识及结石成分分析对复发性尿结石干预的影响,探究其作用机制。方法选择该院2019年1月至2021年1月收治的尿石症患者300例,以数字表法随机分为观察组、对照组、空白组,每组100例,观察组根据诊疗指南、中医体质及结石成分进行施治,对照组按诊疗指南、结石成分分析进行施治,空白组按诊疗指南常规施治。治疗1年后比较3组患者中医证候改善总有效率、中医体质分值及结石复发率情况。结果观察组中医证候改善程度为94.0%(94/100),对照组为70.0%(70/100),空白组为45.0%(45/100),差异均有统计学意义(P<0.05);中医湿热体质分值方面,观察组体质转化分降至(38.32±6.15)分,低于对照组的(42.18±6.85)分及空白组(61.15±9.98)分;观察组症状总积分降至(4.25±2.37)分,低于对照组的(6.34±2.09)分及空白组的(9.21±2.22)分,差异有统计学意义(P<0.05);观察组12个月结石复发率为3.0%(3/100),对照组为11.0%(11/100),空白组为21.0%(21/100),差异均有统计学意义(P<0.05)。结论通过中医体质辨识结合结石成分分析诊治,能有效改善患者证候,调整内环境,达到减少结石复发的效果。Objective To explore the influence of the intervention of recurrent urinary calculi based on traditional Chinese medicine(TCM)constitution identification and stone composition analysis,and to explore its action mechanism.Methods A total of 300 urolithiasis patients admitted to Zhongshan Traditional Chinese Medicine Hospital from January 2019 to January 2021 were randomly divided into observation group,control group and blank group by random number table method,with 100 cases in each group.The observation group was treated according to the diagnosis and treatment guidelines,TCM constitution and stone composition,the control group was treated according to the diagnosis and treatment guidelines and stone composition analysis,and the blank group was treated according to the diagnosis and treatment guidelines.The total effective rate of TCM syndromes improvement,TCM constitution score and stone recurrence rate were compared among the three groups after one year treatment.Results The total effective rate of TCM symptoms improvement was 94.0%(94/100)in the observation group,70.0%(70/100)in the control group and 45.0%(45/100)in the blank group,with statistical significant difference(P<0.05).In terms of TCM dampness-heat constitution score,the constitution transformation score of the observation group decreased to(38.32±6.15)points,which was lower than(42.18±6.85)points of the control group and(61.15±9.98)points of the blank group.The total symptom score of the observation group decreased to(4.25±2.37)points,which was lower than(6.34±2.09)points of the control group and(9.21±2.22)points of the blank group,and the difference was statistically significant(P<0.05).The 12-month stone recurrence rate was 3.0%in the observation group,11.0%in the control group and 21.0%in the blank group,and the difference was statistically significant(P<0.05).Conclusion TCM constitution identification combined with stone composition analysis and diagnosis can effectively improve the patients′syndrome,adjust the internal environment,and

关 键 词：中医体质辨识 结石成分分析 复发性尿结石 

分 类 号：R691.4[医药卫生—泌尿科学]