热淋清颗粒联合盐酸坦索罗辛缓释胶囊治疗输尿管结石合并膀胱刺激征临床研究
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Clinical Study on Relinqing Granules Combined with Tamsulosin Hydrochloride Sustained-Release Capsules for Ureteral Calculi Complicated with Bladder Irritation
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    摘要:

    目的:观察热淋清颗粒联合盐酸坦索罗辛缓释胶囊治疗输尿管结石合并膀胱刺激征的临床疗效。方法:选取60 例输尿管结石合并膀胱刺激征患者作回顾性分析,所有患者给予热淋清颗粒、盐酸坦索罗辛缓释胶囊联合治疗。观察治疗前后临床疗效、疼痛评分、膀胱刺激及不良反应情况。结果:治疗2 周后,结石排出率为93.33%,肾绞痛发生率为6.67%,镇痛药物使用率为3.33%。治疗后1 周,患者疼痛视觉模拟评分法(VAS) 评分较治疗前明显降低,差异有统计学意义(P<0.05)。治疗2 周后,患者排尿感觉量表(USS) 评分、心率均较治疗前明显降低,差异有统计学意义(P<0.05)。治疗2 周后,患者躯体功能、社会功能、物质生活、心理功能等生活质量评分及总分均较治疗前升高,差异均有统计学意义(P<0.05)。治疗后随访4 周,患者的焦虑、抑郁程度均较治疗前改善,经秩和检验,差异均有统计学意义(P<0.05)。治疗过程中,患者出现头晕头痛3 例、口干乏力1 例,不良反应发生率为6.67%。结论:热淋清颗粒联合盐酸坦索罗辛缓释胶囊治疗输尿管结石合并膀胱刺激征疗效显著,可有效减缓疼痛及膀胱刺激症状,改善患者焦虑抑郁情绪,提高其生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of Relinqing granules combined with tamsulosin hydrochloride sustained- release capsules on the treatment of ureteral calculi complicated with bladder irritation. Methods: Retrospective analysis was performed on 60 patients with ureteral calculi complicated with bladder irritation. All patients were treated with Relinqing granules and tamsulosin hydrochloride sustained- release capsules. The clinical effect, pain score, bladder irritation and adverse reactions before and after treatment were observed and analyzed. Results:After two weeks of treatment,the stone excretion rate of patients was 93.33%;the incidence of renal colic was 6.67%,and the utilization rate of analgesic drugs was 3.33%. One week after treatment,the Visual Analogue Scale(VAS) score was significantly lower than that before treatment,the difference being significant(P<0.05). After two weeks of treatment,the urinary sensation scale (USS) score and heart rate were significantly decreased when compared with those before treatment,the difference being significant(P<0.05). After two weeks of treatment, the scores of physical function, social function, material life, psychological function and total score were increased when compared with those before treatment, differences being significant(P<0.05). The patients were followed up for four weeks after treatment,and the degree of anxiety and depression was improved compared with that before treatment,differences being significant(P<0.05). In the course of treatment,there were three cases of dizziness and headache,one case of dry mouth and fatigue,and the incidence of adverse reactions was 6.67%. Conclusion:The therapy of Relinqing granules combined with tansulosin hydrochloride sustained- release capsules has a significant effect on the treatment of ureteral calculi complicated with bladder irritation,which can effectively relieve pain and bladder irritation symptoms,improve anxiety and depression,and enhance quality of life.

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吴铁林.热淋清颗粒联合盐酸坦索罗辛缓释胶囊治疗输尿管结石合并膀胱刺激征临床研究[J].新中医,2021,53(22):75-78

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  • 在线发布日期: 2021-11-26
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