Application study of precise prevention of kidney stones recurrence by integrating traditional chinese medicine"preventing diseases"with feedforward control theory
Application study of precise prevention of kidney stones recurrence by integrating traditional chinese medicine"preventing diseases"with feedforward control theory
Objective To explore the clinical effect of combining traditional Chinese medicine with feedforward control theory to accurately prevent stone recurrence.Methods 100 patients with calcium oxalate stones were included according to the inclusion criteria.They were randomly divided into a control group and an observation group,with 50 cases in each group.Both groups of patients received routine guidance on stone prevention,and a stone prevention plan was developed based on the"Chinese Guidelines for Diagnosis and Treatment of Urology and Andrology Diseases".A unified dietary limit containing oxalic acid was formulated according to the oxalic acid content in the food.On the basis of the control group,the observation group will increase regular detection of urine crystals,regularly monitor the types,quantities,and sizes of morning urine crystals,and develop personalized preventive diets.Regularly modify the diet based on urine crystal measurements.Those with normal urine crystals can maintain their previous month's dietary intake.If they exceed the limit,reduce their oxalic acid intake by 10％.At the beginning of follow-up and the 12th month of follow-up,urine crystallization testing,ultrasound examination and emotional assessment were performed on both groups.Results All cases were followed up for 1 year,and there was no recurrence of stones in the observation group with oxalic acid dietary restriction,while there were 5 cases of recurrence in the control group(P＜0.05).The success rate of prevention in the observation group was 100％,which was higher than the 89.13％in the control group(P＜0.05).The maximum urinary crystal diameter in the observation group decreased significantly after follow-up,while there was no change in the urinary crystal diameter in the control group before and after follow-up.The maximum diameter of urine crystals in the observation group was smaller than that in the control group(P＜0.05).After 12 months of follow-up,the anxiety scores of both groups were lower than before the follow-up,and the observation group was lower than the control group(P＜0.05).Conclusion The personalized prevention plan based on the combination of traditional Chinese medicine's"prevention of disease"and feedforward theory,which includes a dietary restriction diet containing oxalic acid,can effectively prevent postoperative recurrence of stones.
关键词
前馈控制理论/治未病/结石复发/尿结晶
Key words
Feedforward control theory/preventive treatment of disease/stone recurrence/urine crystal
维普
万方数据