| 引用本文: |
刘剑,王婷,邓光程.排石汤对上尿路结石输尿管软镜碎石术后辅助排石的疗效观察[J].湖南中医药大学学报,2020,40(8):1000-1003[点击复制] |
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| 排石汤对上尿路结石输尿管软镜碎石术后辅助排石的疗效观察 |
| 刘剑,王婷,邓光程 |
| (湖南中医药大学第一附属医院, 湖南 长沙 410007;长沙市第四医院, 湖南 长沙 41006) |
| 摘要: |
| 目的 观察排石汤促进上尿路结石患者输尿管软镜碎石术后残余结石排出的临床疗效。方法 将102例输尿管上段结石、肾结石患者随机分为观察组和对照组各51例，两组患者均行输尿管软镜碎石术，观察组患者术后加用中药排石汤辅助治疗2周。于术后第4周、第8周观察两组患者肾绞痛发生率及净石率，同时监测观察组有无药物不良反应。结果 术后观察组肾绞痛发生率为9.8%，对照组为25.5%，两组比较差异具有统计学意义（P<0.05）。观察组术后4周及术后8周的净石率分别为96.1%和98.0%，对照组分别为82.4%和86.3%，两组间比较差异具有统计学意义（P<0.05）。观察组患者服用中药排石汤过程未发生药物相关不良反应。结论 中药排石汤能有效促进上尿路结石患者输尿管软镜碎石术后残余结石的排出，提高净石率，降低肾绞痛的发生率，且无明显不良反应，因而中药排石汤辅助输尿管软镜术后排石有临床推广价值。 |
| 关键词: 上尿路结石 排石汤 输尿管软镜碎石术 临床疗效 |
| DOI：10.3969/j.issn.1674-070X.2020.08.017 |
| 投稿时间：2020-03-20 |
| 基金项目: |
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| Efficacy Observation on Paishi Decoction for Assisted Stone Removal after Flexible Ureteroscopic Lithotripsy of Upper Urinary Tract |
| LIU Jian,WANG Ting,DENG Guangcheng |
| (The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;The Fourth Hospital of Changsha, Changsha, Hunan 410006, China) |
| Abstract: |
| Objective To observe the clinical efficacy of Paishi Decoction in the treatment of residual calculi removal for patients with upper urinary stone after flexible ureteroscopic lithotripsy. Methods A total of 102 patients with upper ureteral stones or kidney stones were randomly divided into 51 cases in the observation group and 51 cases in the control group, and the patients in both groups were treated with flexible ureteroscopic lithotripsy. Patients in the observation group were add Chinese medicine Paishi Decoction for 2 weeks after surgery. The incidence of renal colic and the rate of stone clearance were observed at the 4th week and the 8th week after operation. At the same time, the observation group was monitored for adverse drug reactions. Results The incidence of renal colic was 9.8% in the observation group, and 25.5% in the control group. The difference between the 2 groups was statistically significant (P<0.05). The stone removal rate in the observation group at 4 weeks and 8 weeks after operation were 96.1% and 98.0%, and that in the control group were 82.4% and 86.3%, respectively. The difference was statistically significant (P<0.05). There were no drug-related adverse reactions in the observation group after taking Chinese medicine Paishi Decoction. Conclusion Chinese medicine Paishi Decoction can effectively promote the removal of stone fragments for patients with upper urinary stone after flexible ureteroscopic lithotripsy, improve the stone-cleaning rate and reduce the incidence of renal colic. The treatment has no obvious adverse reactions, so the Chinese medicine Paishi Decoction assists calculi removal after flexible ureteroscopic lithotripsy has value for clinical promotion. |
| Key words: upper urinary stone Paishi Decoction flexible ureteroscopic lithotripsy clinical observation |
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