中医尿路排石汤联合体外冲击波碎石治疗上尿路结石的临床观察

目的：探讨中医尿路排石汤联合体外冲击波碎石中西医结合治疗上尿路结石的疗效。方法：回顾分析我院 2012年 6 月—2017 年 6 月治疗的上尿路结石患者 889 例，按治疗方式分为单纯体外冲击波治疗（对照组）与中西医结合治疗（治疗组）。对照组给予常规西医体外冲击波碎石治疗，治疗组采用尿路排石汤联合体外冲击波碎石中西医结合治疗。观察两组治疗效果、住院天数、平均需要碎石次数、腹痛减轻时间、肉眼血尿消失时间。结果：对照组总有效率为 80%，治疗组总有效率为 90%（P<0.05），对照组平均碎石治疗次数为（2.1±1.1）次，治疗组平均碎石治疗次数为（1.4±1.2）次（P<0.05），对照组平均腹痛时间为（3.76±2.24）天，治疗组平均腹痛时间为（3.01±1.54）天（P<0.05）。结论：中西医结合治疗效果优于单独使用体外冲击波碎石术治疗。

Clinical Observation on Traditional Chinese Medicine Paishi Decoction Combined with Extracorporeal Shock Wave Lithotripsy in Upper Urinary Tract Calculi

Objective To explore the curative effect of traditional Chinese Medicine Paishi Decoction combined with extracorporeal shock wave lithotripsy in the treatment of upper urinary tract calculi. Methods From June 2012 to June 2017, 889 patients with upper urinary tract calculi were divided into traditional Chinese and Western medicine treatment group (treatment group) and extracorporeal shock wave treatment group (control group). The patients in control group were treated with routine Western medicine extracorporeal shock wave lithotripsy, and the patients in treatment group were treated with traditional Chinese and Western medicine which was Paishi Decoction combined with extracorporeal shock wave lithotripsy. The effects of treatment, days of hospitalization, extracorporeal shock wave lithotripsy number, abdominal pain reduction time and gross hematuria disappearance time were observed. Results The total effective rate was 80% in the control group and 90% in the treatment group (P<0.05). The average number of extracorporeal shock wave lithotripsy was (2.1±1.1) times in the control group and (1.4±1.2) times in the treatment group (P<0.05). The average time of abdominal pain was (3.76±2.24) d in the control group and (3.01±1.54) d in the treatment group (P<0.05). Conclusion The effect of traditional Chinese medicine Paishi Decoction combined with external shock wave lithotripsy in the treatment of upper urinary calculi is obviously better than that of extracorporeal shock wave lithotripsy alone.