摘要
目的探究中药联合体外冲击波碎石术治疗肾结石的临床效果。方法选取2021年3月至2021年9月五华县琴江医院收治的肾结石患者60例,按照随机数字表法分成对照组和研究组,每组30例。对照组接受体外冲击波碎石术治疗,研究组接受中药联合体外冲击波碎石术治疗。对比两组患者的临床治疗效果、手术指标、肾功能指标和并发症发生情况。结果研究组临床治疗总有效率高于对照组,差异有统计学意义(P<0.05);研究组碎石取石时间、住院时间短于对照组,手术出血量少于对照组,差异有统计学意义(P<0.05);研究组治疗后血清肌酐、血胱抑素C、尿肾损伤分子-1、β微球蛋白、视黄醇结合蛋白水平高于对照组,差异有统计学意义(P<0.05);研究组的手术并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论应用中药联合体外冲击波碎石术治疗肾结石可以缩短碎石取石时间、住院时间,减少手术出血量、改善肾功能,降低并发症的发生率,安全性较高,提高临床治疗效果。
Objective To explore the clinical effect of traditional Chinese medicine combined with extracorporeal shock wave lithotripsy on the treatment of kidney stones.Methods A total of 60 patients with kidney stones who were admitted to Qinjiang Hospital in Wuhua County from March 2021 to September 2021 were selected and divided into two groups according to the random number table method,with 30 cases in each group.The control group was treated with extracorporeal shock wave lithotripsy,while the study group received traditional Chinese medicine combined with extracorporeal shock wave lithotripsy.The clinical treatment effects,surgical indicators,renal function indicators,and complications were compared between the two groups.Results Compared to the control group,the total effective rate of clinical treatment in the study group was higher than that in the object group,and the difference was statistically significant(P<0.05).The surgical blood loss was significantly lower than that of the control group(P<0.05).In addition,the level of the flavonoid-binding protein was higher(P<0.05).Compared to the control group,the incidence of surgical complications in the study group was significantly lower(P<0.05).Conclusion The application of traditional Chinese medicine combined with extracorporeal shock wave lithotripsy in the treatment of renal calculi can shorten the duration of lithotripsy,hospital stay,reduce surgical blood loss,improve renal function,reduce the incidence of complications,and improve safety and clinical treatment effect.
作者
刘鑫伟
曹希
Liu Xinwei;Cao Xi(Department of General Surgery,Qinjiang Hospital of Wuhua County,Meizhou,Guangdong,514400,China;Department of Urology,Chang’an Hospital of Heyuan City,Guangdong,514400,China)
出处
《泌尿外科杂志（电子版）》
2022年第1期94-96,100,共4页
Journal of Urology for Clinicians(Electronic Version)
关键词
体外冲击波碎石术
中药
肾结石
肾功能
Extracorporeal shock wave lithotripsy
Traditional Chinese medicine
Kidney stones
Renal function
作者简介
通信作者:刘鑫伟,E-mail:chengff0101@163.com
