Effect of Jianpi Qushi Paste Combined with Extracorporeal Shock Wave Lithotripsy in the Treatment of Obese Patients with Ureteral Calculi
Objective:To explore the effect of Jianpi Qushi Paste combined with extracorporeal shock wave lithotripsy in the treatment of obese patients with ureteral calculi.Method:A total of 58 obese patients with ureteral calculi admitted to the Surgery Department of Guangzhou Hospital of Integrated Traditional and Western Medicine from March to October 2021 were selected as the study objects,and they were randomly divided into control group and observation group,with 29 cases in each group.The control group was treated with extracorporeal shock wave lithotripsy,and the observation group was treated with Jianpi Qushi Paste combined with extracorporeal shock wave lithotripsy.The incidence of complications,perioperative indexes,levels of neutrophil gelatinase-associated lipocalin(NGAL),urinary α1-microglobulin(α1-MG)and visual analogue scale(VAS)were compared in both groups.Result:There were no significant differences in the incidence of complications between the two groups(P>0.05).The hospitalization days and operation time of the observation group were significantly shorter than those of the control group,and the blood loss was significantly less than that of the control group,the differences were statistically significant(P<0.05).Before operation,there were no significant differences in NGAL and α1-MG levels between the two groups(P>0.05).On the 7 d after operation,the levels of NGAL and α1-MG in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Before operation,there was no significant difference in VAS scores between the two groups(P>0.05).On the 7 d after operation,the VAS score of the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Jianpi Qushi Paste combined with extracorporeal shock wave lithotripsy has a significant effect in the treatment of obese patients with ureteral calculi,which can reduce blood loss,relieve patients'pain,improve treatment effect and improve patients'quality of life.