利尿排石汤联合坦索罗辛缓释胶囊对输尿管结石钬激光碎石术后的影响
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Effect of Liniao Paishi Tang Combined with Tamsulosin Hydrochloride Sustained Release Capsules on Patients After Holmium Laser Lithotripsy for Ureteral Calculi
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    摘要:

    目的:观察利尿排石汤联合坦索罗辛缓释胶囊对输尿管结石钬激光碎石术后的疗效。方法:选取110 例拟行钬激光碎石术治疗的输尿管结石患者,按随机数字表法分为对照组及治疗组各55 例。2 组均行输尿管镜钬激光碎石术,对照组术后口服坦索罗辛缓释胶囊,治疗组在对照组基础上加用利尿排石汤,2 组均连续治疗2 周。比较2 组临床疗效,比较2 组治疗前后肾小管功能受损指标[尿N-乙酰-β-D-氨基葡萄糖苷酶(NAG)、β2-微球蛋白(β2-MG)] 水平的变化,比较治疗2 周后2 组结石排净率及治疗期间并发症发生情况。结果:治疗2 周后,治疗组临床疗效总有效率为96.36%,对照组为85.45%,2 组比较,差异有统计学意义(P<0.05)。治疗2 周后,2 组尿NAG、β2-MG 水平均较治疗前下降,治疗组尿NAG、β2-MG 水平均低于对照组,差异均有统计学意义(P<0.05)。治疗2 周后复查,治疗组输尿管结石排净率为94.55%,高于对照组81.82%,差异均有统计学意义(P<0.05)。治疗期间,治疗组并发症肾绞痛发生率9.09%,对照组发生率为23.64%,差异有统计学意义(P<0.05);2 组尿路感染、恶心呕吐发生率比较,差异均无统计学意义(P>0.05)。结论:利尿排石汤联合坦索罗辛缓释胶囊用于输尿管结石钬激光碎石术后患者疗效确切,可减轻肾功能受损程度,加快碎石排出,减少肾绞痛的发生。

    Abstract:

    Abstract: Objective: To observe the curative effect of Liniao Paishi tang combined with tamsulosin hydrochloride sustained release capsules on patients after holmium laser lithotripsy for ureteral calculi. Methods: A total of 110 cases of patients who had ureteral calculi and underwent holmium laser lithotripsy were selected and divided into the control group and the treatment group according to the random number table method,with 55 cases in each group. Both groups were treated with holmium laser lithotripsy under ureteroscope; the control group was given the postoperative oral administration with tamsulosin hydrochloride sustained release capsules,and the treatment group was additionally treated with Liniao Paishi tang based on the treatment of the control group. Both groups were treated for two weeks. The changes in indexes of renal tubular function impairment including urinary N- acetyl- β- D- glucosaminidase(NAG) and β2- microglobulin(β2- MG) before and after treatment,clinical effects,and the stone clearance rate and the incidence of complications after two-week treatment were compared between the two groups. Results: After two- week treatment, the total effective rate of clinical effect was 96.36% in the treatment group and 85.45% in the control group,the difference being significant(P<0.05). After two-week treatment, levels of urinary NAG and β2- MG in the two groups were decreased when compared with those before treatment,and the two levels in the treatment group were lower than those in the control group,differences being significant (P<0.05). According to the reexamination after two- week treatment,the ureteral stone clearance rate was 94.55% in the treatment group, higher than that of 81.82% in the control group, differences being significant(P<0.05). As for the complications,the incidence of renal colic was 9.09% in the treatment group and 23.64% in the control group,the difference being significant(P<0.05); there was no significant difference being found in the comparison of incidences of urinary tract infection,nausea and vomiting between the two groups(P>0.05). Conclusion:Liniao Paishi tang combined with tamsulosin hydrochloride sustained release capsules has a defined curative effect in the treatment of patients after holmium laser lithotripsy for ureteral calculi,and can reduce the damage of renal function and the occurrence of renal colic,and accelerate the discharge of stone.

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李文华,刘全明,占习双,张孝旭,梅玉献.利尿排石汤联合坦索罗辛缓释胶囊对输尿管结石钬激光碎石术后的影响[J].新中医,2022,54(11):130-133

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  • 在线发布日期: 2022-06-10
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