世界复合医学2024,Vol.10Issue(5) :59-63.DOI:10.11966/j.issn.2095-994X.2024.10.05.15

清热活血排石汤结合体外冲击波碎石术对输尿管结石患者中医证候积分的影响

Effect of Qingre Huoxue Paishi Decoction Combined with Extracorporeal Shock Wave Litho-tripsy on Traditional Chinese Medicine Syndrome Score of Patients with Ureteral Calculi

郑铎 田彦
世界复合医学2024,Vol.10Issue(5) :59-63.DOI:10.11966/j.issn.2095-994X.2024.10.05.15

清热活血排石汤结合体外冲击波碎石术对输尿管结石患者中医证候积分的影响

Effect of Qingre Huoxue Paishi Decoction Combined with Extracorporeal Shock Wave Litho-tripsy on Traditional Chinese Medicine Syndrome Score of Patients with Ureteral Calculi

郑铎 1田彦1
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作者信息

  • 1. 松原市中心医院(松原市儿童医院)泌尿外科,吉林 松原 138000
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摘要

目的 探究清热活血排石汤结合体外冲击波碎石术对输尿管结石患者中医证候积分的影响.方法 回顾性选取2021年1月—2023年12月松原市中心医院收治的98例输尿管结石患者的临床资料,以不同治疗方法分为对照组、研究组,各49例,两组均应用体外冲击波碎石术治疗,在此基础上,术后对照组应用常规药物治疗,研究组在对照组基础上应用清热活血排石汤,比较两组治疗效果、中医证候积分、肾功能指标(血肌酐、尿素氮)、排石情况(开始排石时间、排石周期)及不良反应发生率.结果 研究组治疗总有效率为97.96%(48/49),高于对照组的83.67%(41/49),差异有统计学意义(χ2=4.404,P<0.05).治疗前两组中医证候积分、血肌酐、尿素氮比较,差异无统计学意义(P均>0.05);治疗后,研究组中医证候积分、血肌酐、尿素氮均低于对照组,差异有统计学意义(P均<0.05).研究组开始排石时间、排石周期均短于对照组,差异有统计学意义(P均<0.05).研究组结石清除率高于对照组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 在输尿管结石患者体外冲击波碎石术及常规药物治疗基础上,联合应用清热活血排石汤,可提升治疗效果,降低中医证候积分,减轻肾功能损伤,提升结石清除率,且安全性良好.

Abstract

Objective To investigate the effect of Qingre Huoxue Paishi Decoction combined with extracor-poreal shock wave lithotripsy on the Traditional Chinese Medicine Syndrome score of patients with ureteral cal-culi.Methods The clinical data of 98 patients with ureteral calculi admitted to Songyuan Central Hospital from January 2021 to December 2023 were retrospectively selected.According to different treatment methods,they were divided into control group and study group,with 49 cases in each group.Both groups were treated with ex-tracorporeal shock wave lithotripsy.On this basis,the control group was treated with conventional drugs after op-eration,and the study group was treated with Qingre Huoxue Paishi Decoction on the basis of the control group.The treatment effect,Traditional Chinese Medicine syndrome score,renal function indexes(serum creatinine,blood urea nitrogen),stone removal(starting stone removal time,stone removal cycle)and incidence of adverse reactions were compared between the two groups.Results The total effective rate of treatment in the study group was that of 97.96%(48/49),which was higher than 83.67%(41/49)in the control group,and the difference was statistically significant(χ2=4.404,P<0.05).Comparison of Traditional Chinese Medicine Syndrome scores,blood creatinine and urea nitrogen between the two groups before treatment,and the differences were not statisti-cally significant(all P>0.05).After treatment,the study group's Traditional Chinese Medicine Syndrome score,blood creatinine,and urea nitrogen were lower than those of the control group,and the differences were statisti-cally significant(all P<0.05).The time to start stone removal and stone removal cycle of the study group was shorter than that of the control group,and the differences were statistically significant(both P<0.05).The stone clearance rate in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion On the basis of extracorporeal shock wave lithotripsy and conventional drug treat-ment in patients with ureteral calculi,the combined application of Qingre Huoxue Paishi Decoction can en-hance the therapeutic effect,reduce the Traditional Chinese Medicine Syndrome scores,the reduce renal func-tion injury,improve the stone clearance rate,and has good is safety.

关键词

输尿管结石/体外冲击波碎石/清热活血排石汤

Key words

Ureteral calculi/Extracorporeal shock wave lithotripsy/Qingre Huoxue Paishi Decoction

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出版年

2024
世界复合医学

世界复合医学

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