自拟消淋排石汤联合体外冲击波碎石术治疗上尿路结石的临床研究[论著栏目].docVIP

精品论文 参考文献 自拟消淋排石汤联合体外冲击波碎石术治疗上尿路结石的临床研究[论著栏目] 曲世华 [摘 要]目的：探究自拟汤药“消淋排石汤”联合体外冲击波碎石治疗上尿路结石的临床疗效，以寻求更为合理的治疗方式。方法：选择我院泌尿外科自2010年3月至2014年1月间收治的240例上尿路结石患者为观察对象，并随机分为观察组及对照组，每组各120例。对照组采用西医常规治疗，体外冲击波碎石术治疗,观察组患者在对照组治疗的基础上联合自拟消淋排石汤治疗,比较其临床疗效。 结果：观察组术后第1周、第2周及第3周的残时率为15.8%、12.5%及7.5%，明显高于对照组的27.5%、21.7%及13.3%，且同期比较均存在统计学差异；在临床症状积分方面，观察组在第1周、第2周及第3周分别为（9.36plusmn;2.14）、（7.19plusmn;1.26）、（3.59plusmn;0.72），而对照组同时期分别为（13.29plusmn;3.73）、（10.37plusmn;2.41）及（6.18plusmn;1.76），存在差异性（Plt;0.05）；临床有效率方面，观察组临床有效率为98.3%，明显高于对照组的87.5%，差异明显（Plt;0.05）。 结论：中西医结合治疗上尿路结石临床疗效显著，可明显提高排石成功率，有利于改善患者临床症状及预后，提高患者的生活质量。 [关键词] 泌尿系结石 中西医结合 临床疗效 DOI:10.3760/cma.j.issn.0376-2491.2014.44.053 作者单位：262500 山东青州，青州市人民医院 The Clinical Efficacy of Self-made “Xiaolin Paishi Decoction” Combined with Extracorporeal Shock Wave Lithotripsy in the Treatment of Upper Urinary Tract Stones Qu Shihua Abstract: Objective To explore the clinical efficacy of self-made “Xiaolin Paishi Decoction” combined with extracorporeal shock wave lithotripsy (ESWL) in the treatment of upper urinary tract stones in order to get a better treatment. Method 240 patients with upper urinary calculi admitted by the the department of urology of the authorrsquo;s hospital from March 2010 to January 2014 were randomly divided into the observation group and the control group, each with 120 cases. The control group received conventional Western medicine and extracorporeal shock wave lithotripsy, while the observation group received additional “Xiaolin Paishi Decoction” treatment on the basis of the control group. The clinical efficacy of the two groups was compared. Result One week, 2 weeks and 3 weeks after the treatment, the residual stone rate in the observation group was 15.8%, 12.5% #8203;#8203;and 7.5% respectively, which are significantly lower than the respective rate of 27.5%, 21.7% and 13.3% in the control group, and their contemporary comparisons were of significant difference;