谷氏排石汤治疗泌尿系小结石的效果观察.docVIP

精品论文 参考文献 谷氏排石汤治疗泌尿系小结石的效果观察 曹龙滨 曾莎 李江松 谷万里 孙茸 　　【摘 要】 目的 观察聊城市人民医院中医科谷万里教授研制的谷氏排石汤在治疗泌尿系小结石方面的临床效果。方法 选取我院2010-2015年就诊的248例肾盂或输尿管中上段小结石（直径小于1cm）患者随机分为治疗组1、治疗组2和对照组，其中治疗组1取124 例，治疗组2取124 例，对照组124例，治疗组1给予谷氏排石汤治疗，对照组2予排石冲剂口服，对照组不服药，每日饮水2000ml左右，并做适当运动。两组均以10天为1 个疗程，3个疗程后观察治疗效果。结果 治疗组有效率87.6%，对照组有效率25.7%治疗组总有效率远高于对照组，差异具有统计学意义(P＜0.05)。结论 谷氏排石汤治疗泌尿系小结石效果良好，明显优于常规治疗。 　　【关键词】 泌尿系结石； 谷氏排石汤； 结石治疗 　　Gushi Paishi Decoction in the treatment of urinary calculi were small CaoLongBin1 ZengShao LiJiangSong GuWanLi SunRong. The Department of Urology of Liaocheng Peoples Hospital 252000 　　【Abstract】 Objective to observe the clinical effcet of Gursquo;s Paishi Decoction invented by professor Gu Wanli from traditional Chinese medicine department of Liaocheng Peoplersquo;s Hospital in the treatment of Urinary calculi.Methods 248 patients with renal pelvis calculi or middle and upper ureteral stones from Liaocheng Peoplersquo;s Hospital during 2010 to 2015 were divided into treatment group 1 ,treatment group 2 and control group,with 124 patients in every group. Patients in treatment group 1 were given Gursquo;s Paishi Decoction, treatment group 2 were given Paishichongji orally and patients in control were required to take 2000ml of water and proper exercise without any drugs.Efficacy were observed after three courses of treatment which included 10 days in one period.Results :the total effective rate in treatment group of 87.6% was much higher than that in control group of 25.7%, and the difference was significant(Plt;0.05).Conclusion: The efficacy of Gursquo;s Paishi Decoction in the treatment of little Urinary calculi is superior to the conventional treatment obviously. 　　【Keywords】 Urinary calculi； Gursquo;s Paishi Decoction； The treatment of calculi 　　泌尿系结石作为最常见的泌尿外科疾病之一，在我国泌尿系结石发病率较高，约5%-10%，主要发病人群为成人。由于结石本身有导致泌尿系炎症、尿道梗阻、肾积水、肾衰竭等并发症，给患者带来痛苦，甚至威胁生命,而且复发率较高[1][2]，10年约为50％，2次发病中位间期为9年[3]。目前对尿结石的治疗，临床已广泛采用腹腔镜取石、气压弹道碎石及/或手术切开取石等方法[4～6]，但均属有创性治疗方法。治疗过程中也出现过