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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:目的 探讨利尿排石汤联合盐酸坦洛新在体外碎石治疗输尿管结石的排石效果。方法 将92例体外碎石患者随机平分成两组,每组46例。观察组在碎石后给利尿排石汤(石韦30g,炒车前子30g,金钱草30g,炒鸡内金20g,炙黄芪30g),每日一剂;盐酸坦洛新0.2mg,每日一片,共2周。对照组常规治疗。观察两组2周结石排净率和并发症发生率。结果 利尿排石汤,味不难饮,患者依从性好,无中途退出。观察组和对照组结石排净率分别为82.61%(38/46)和52.17%(24/46),两组比较P<0.01,差异显著;观察组和对照组疼痛、血尿、感染、结石残留率分别为39.13%(18/46)、10.87%(5/46)、8.7%(4/46)、17.39%(8/46)和60.87%(28/46)、30.43%(14/46)、23.91%(11/46)、47.82%(22/46),两组比较有明显差异(p均<0.05)。结论 采取利尿排石汤联合坦洛新排石,可明显提高ESWL术后结石排净率,减少并发症,易于临床推广应用。

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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