摘要
目的:探讨体外冲击波碎石术(ESWL)配合自拟中药三金排石汤口服治疗上尿路结石的临床疗效。方法:将所有就诊于医院泌尿外科的上尿路结石患者共120例,随机随机分为治疗组与对照组两组,每组各60例,两组患者均采用上海交大南洋医疗器械有限公司JDPN-ⅧA型体外冲击波碎石机B超定位水囊式体外冲击波碎石机进行体外碎石,术后常规对症处理。治疗组于术后口服自拟中药汤剂三金排石汤,每日1剂,分早晚2次口服,每次100 mL,30 d为1疗程。所有患者疗程结束后统计治愈数及总有效率,同时进行为期3个月的随访观察,并统计每个月的观察结果。结果:疗程结束后治疗组与对照组总有效率分别为90.0%、68.3%,两组相比,有显著性差异(P<0.05)。治疗组首次平均排石时间为(4.2±2.5)d,对照组为(7.4±3.1)d,治疗组明显短于对照组,有显著性差异(P<0.05)。治疗组随访1个月、2个月、3个月的结石排净率也分别优于对照组的相应观察时间,结果有统计学意义。两组治疗后不良反应比较中,治疗组明显少于对照组,且石街的发生率也明显少于对照组,有显著性差异(P<0.05)。结论:体外冲击波碎石术和中药是治疗结石两种重要手段,两者联合应用能显著提高结石的疗效,缩短病程,促进排石,减轻碎石术后并发症,且经济、安全,值得在临床中推广应用。
Objective ：To investigate the clinical efficacy of extracorporeal shock wave lithotripsy （ESWL） and TCM decoction on the urinary calculi. Methods ： 120 patients with urinary calculi in our hospital were randomly divided into treatment group and control groups,60 cases in each group. Patients used domestic BYS - Ill type B - positioning blad- ders style extracorporeal shock wave, lithotripsy extracorporeal lithotripsy machine after conventional symptomatic treat- ment. The treatment group added self - made Sanjin Paishi Decoction orally after operation, one dose a day and twice a day with 100 mL for each time. 30 days was a course of treatment. The total efficiency,a three - month follow - up obser- vation and observations each month were carried out. Results ： After the treatment, the total effective rates of the treatment group and the control group were 90.0% and 68.3% respectively. There was a significant difference between two group （ P 〈 0.05 ）, First row of stone mean time in treatment group was （4.2 ±2.5 ） d and that of the control group was （7.4 ± 3.1 ） d and there was a significant difference （P 〈 0.05）. The stone clearance rates of three - month observation peri- od in treatment group were also better than those of the control group. Adverse reactions in the treatment group were sig- nificantly less than that of the control group and the incidence of stone was also significantly less than that of the control group and there was a significant difference （P 〈 0.05 ）. Conclusions ： Extracorporeal shock wave lithotripsy and medicine are two important means of stone therapy. Their combination can significantly improve the efficacy, shorten the course, promote the removal of stone and reduce PoStoperative complications. And it is worthy of clinical application.
出处
《中华中医药学刊》
CAS
2014年第5期1212-1215,共4页
Chinese Archives of Traditional Chinese Medicine
关键词
体外冲击波碎石术
三金排石汤
上尿路结石
临床观察
extracorporeal shock wave lithotripsy
Sanjin Paishi Decoction
upper urinary tract stones
clinical observation
作者简介
章祖招（1970-），男，浙江黄岩人，副主任医师，学士，研究方向：泌尿外科的微创治疗。
