| 碱化尿液联合中药排石治疗尿路尿酸性结石的疗效观察（附51例报告） |
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| 引用本文： | 董晓程,宣强,黄涛,诸禹平.碱化尿液联合中药排石治疗尿路尿酸性结石的疗效观察（附51例报告）[J].安徽医学,2011(10):1688-1690. |
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| 作者姓名： | 董晓程 宣强 黄涛 诸禹平 |
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| 作者单位： | 230001, 合肥 安徽医科大学附属省立医院泌尿外科 |
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| 摘 要： | 目的总结尿路尿酸的诊治经验。方法对51例尿路尿酸结石患者行B超、腹部平片、静脉尿路造影和（或）逆行插管造影及螺旋CT检查。将患者分成2组,A组26例,使用枸橼酸氢钾钠颗粒（友来特）10 g/d,并联合中药排石,饮水量1 500ml/d,测新鲜尿液pH值必须保持在6.2～6.8之间;B组25例,给予仅排石中药口服,并嘱患者多饮水,饮水量〉2 000 ml/d,低嘌呤饮食。比较两组排石成功率。结果 A组26例中排出结石者21例,排石成功率为80.8%,排石时间平均（17±3）d。B组25例中排出结石者10例,排石成功率为40.0%,排石时间平均（21±4）d。排石成功率高于B组（P〈0.05）,排石时间短于B组（P〈0.05）。结论结合全身情况选择碱化尿液溶石治疗安全、疗效好,为目前尿酸结石治疗的主要方法。
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| 关 键 词： | 尿酸结石 碱化尿液溶石 中药排石 |
Diagnosis and treatment of uric acid calculi |
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| Dong Xiaocheng,Xuan Qiang,Hhang Tao,et al.Diagnosis and treatment of uric acid calculi[J].Anhui Medical Journal,2011(10):1688-1690. |
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| Authors: | Dong Xiaocheng Xuan Qiang Hhang Tao |
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| Institution: | Dong Xiaocheng,Xuan Qiang,Hhang Tao,et al Department of Urology,Anhui Provincial Hospital Affiliated to Anhui Medical University,Hefei 230001,China |
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| Abstract: | Objective To evaluate the therapy experience on 51 cases of uric acid calculi from Jan,2004 to Apr,2009.Methods All the patients were diagnosed by abdominal plain radiography,intravenous pyelography(IVP),computerized tomography(CT),blood and urine biochemical examinations.The patients were divided into two groups.Group A with 26 patients oral Pai Shi Chinese traditional medicine combined with alkalinizing agent Uralyt,whose urine pH values were regulated between 6.2 and 6.8.Group B with 25 patients oral onl... |
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| Keywords: | Uric acid calculi Alkalinizing urine expulsion Chinese traditional medicine expulsion |
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