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利尿排石汤联合坦洛新对体外碎石后排石效果的影响
引用本文:沈燕,韩立民,顾月建,黄永斌.利尿排石汤联合坦洛新对体外碎石后排石效果的影响[J].浙江中西医结合杂志,2020,30(7).
作者姓名:沈燕  韩立民  顾月建  黄永斌
作者单位:湖州市南浔区中医院,湖州市南浔区中医院,湖州市南浔区中医院,湖州市南浔区中医院
基金项目:公益性一般 利尿扩管体外碎石中西药联合排石治疗输尿管结石的临床研究
摘    要:正输尿管结石多为肾结石下降过程中停留在输尿管狭窄处所致,占泌尿系结石的33%~54%~(1])。结石易停留或嵌顿在输尿管的上段,约占全部输尿管结石的58%,而下段输尿管结石仅占33%,中段最少~(1])。冲击波碎石(extracorporeal shock wave lidmtfipsy,ESWL)属非器械侵入性微创方法,是治疗输尿管结

关 键 词:结石,体外冲击波碎石,排石,利尿排石汤,盐酸坦洛新
收稿时间:2019/11/14 0:00:00
修稿时间:2020/4/11 0:00:00

Effect of Diuretic Paishi Decoction Combined with Tamsulosin on Lithotripsy in Vitro
Abstract:Objective To explore the effect of Diuretic Paishi Decoction combined with tamsulosin hydrochloride in the treatment of ureteral calculi in vitro. Methods Ninety-two patients with extracorporeal lithotripsy were randomly divided into two groups, 46 in each group. After lithotripsy was done, the observation group was given Diuretic Paishi Decoction (Shiwei 30g, Fried Plantago 30g, Lycoris fortunei 30g, Fried Chicken Neijin 20g, Fried Astragalus 20g), one dose a day, and combined with Tamsulosin Hydrochloride 0.2mg, one tablet a day for 2 weeks. The control group received routine treatment. The stone clearance rate and the incidence of complications were observed after 2 weeks.Results Diuretic Paishi Decoction was not difficult to drink. With good compliance, no patients was halfway out. The stone clearance rates of the observation group and the control group were 82.61% (38/46) and 52.17% (24/46), respectively, with significant difference between the two groups (P < 0.01); The pain, hematuria, infection and residual stone rates of the observation group and the control group were 39.13% (18/46), 10.87% (5/46), 8.7% (4/46), 17.39% (8/46) and 60.87% (28/46), 30.43% (14/46), 23.91% (11/46), 47.82% (22/46) respectively. There were significant differences between the two groups (P < 0.05 in all).Conclusion Diuretic Paishi Decoction combined with Tanloxin Paishi Decoction can significantly improve the stone clearance rate after ESWL, reduce complications, and is easy to promote clinical application.
Keywords:Stones  ESWL  Lithotripsy  Diuretic  and lithotripsy  decoction  Tamsulosin  hydrochloride
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