涤石汤治疗输尿管结石临床研究
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R693+.4

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Clinical Study on Dishi Tang for Ureteral Calculi
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    摘要:

    目的:观察涤石汤应用于输尿管结石治疗中的效果。方法:按照随机数字表法随机选取240 例行体外冲击波排石患者进行研究,并分为对照组与观察组各120 例。对照组行体外碎石术治疗,术后辅以抗感染等治疗,观察组于对照组基础上采用涤石汤治疗。评价2 组治疗疗效和中医证候评分情况、术后结石排净时间、并发症。结果:观察组治愈率为96.67% (116/120) 明显高于对照组78.33% (94/120),差异有统计学意义(χ2=18.44,P=0.00)。观察组术后结石排净时间为[4.55 (3.57,6.92)] d,短于对照组[7.41(5.82,9.35)] d(Z=15.51,P=0.00)。2 组治疗后中医证候积分低于治疗前,观察组治疗后中医证候积分低于对照组,差异有统计学意义(P<0.05)。观察组术后并发生率为1.67%(2/120) 明显低于对照组7.50%(9/120),差异有统计学意义(χ2=4.67,P=0.03)。结论:输尿管结石患者行体外冲击波排石术后采用涤石汤治疗可提高排石效果,加快排石速度,且并发症少。

    Abstract:

    Abstract:Objective:To observe the application effect of Dishi tang in the treatment of ureteral calculi. Methods:A total of 240 cases of patients who underwent extracorporeal shock wave lithotripsy were selected according to the random number table method and were divided into the control group and the observation group, 120 cases in each group. After extracorporeal lithotripsy,the control group was given anti-infection treatment,and the observation group was additionally treated with Dishi tang based on the treatment of the control group. Curative effect,Chinese medicine syndrome scores,the time of postoperative stone clearance, and complications were evaluated in the two groups. Results: The cure rate was 96.67% (116/120) in the observation group, significantly higher than that of 78.33% (94/120) in the control group, the difference being significant(χ 2=18.44,P=0.00). The time of postoperative stone clearance was [4.55(3.57,6.92)] days in the observation group, shorter than that of [7.41(5.82, 9.35)] days in the control group, the difference being significant(Z= 15.51, P=0.00). After treatment, Chinese medicine syndrome scores in the two groups were lower than those before treatment,and the score in the observation group was lower than that in the control group,the difference being significant (P<0.05). The postoperative complication rate was 1.67% (2/120) in the observation group, significantly lower than that of 7.50%(9/120) in the control group,the difference being significant(χ 2=4.67,P=0.03). Conclusion:For patients with ureteral calculi who underwent extracorporeal shock wave lithotripsy,the application of Dishi tang can enhance the effect of stone removal,quicken the process with few complications.

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王晨昱,王俊,蔡王辉.涤石汤治疗输尿管结石临床研究[J].新中医,2021,53(10):64-66

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  • 在线发布日期: 2021-05-24
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