排石颗粒合坦索罗辛治疗体外冲击波碎石后输尿管结石疗效观察

Treatment of Tamsulosin with Pai Shi Ke Li for Uretera Stone after the Therapy of ESWL

[目的]研究排石颗粒联用坦索罗辛治疗体外冲击波碎石术(ESWL)后的输尿管结石的临床疗效。[方法]2009年1月至2010年10月200例输尿管结石患者分为实验组和对照组各100例,两组患者经ESWL后均饮水2L/d,常规抗感染,止血处理,实验组给予排石颗粒联用坦索罗辛治疗;对照组仅口服排石颗粒。每例患者治疗观察期不超过2周,观察结石排出率、结石排出时间、典型肾绞痛再次发生率。[结果]实验组总排石率(78%)、排石时间(2～8d)、肾绞痛再发生率(5%)等均优于对照组,差异有统计学意义(P<0.05)。[结论]排石颗粒联用坦索罗辛用于辅助排出ESWL后的输尿管结石,减少肾绞痛发作,疗效肯定,便于推广应用。

[Purpose] To observe the curative effect of Pai Shi Ke Li with tamsulosin to treat ureteral stone after the therapy of extracorporeal shock wave lithotripsy（ESWL）.[Methods] Experimental group A and control group B were established.Two groups of drinking water 2L a day after ESWL,conventional anti-infection,bleeding treatment.100 patients with ureteral stones were treated using Pai Shi Ke Li matching with tamsulosin.In the control group B,100 patients were treated with Pai Shi Ke Li alone.The time was no more than 2 weeks,we observed the exclusion rate,exclusion time of the ureteral stone and the recurrence of renenal colic.[Results] It was found that the stone exclusion rate of the experimental group A（78%）was higher than that of the control group B（56%）.There was satatistical difference between the two groups.The exclusion time in the experimental group and control group was 2~8（5±3）days and 8~14（11±3）days respectively.Typical of the incidences of renal colic again were 5% and 15% in the experimental group and the control group respectively.[Conclusions] Tt is suggested that Pai Shi Ke Li in cooperation with tamsulosin can be used to assist the exclusion of uretera stone and reduce the recurrence of renal colic.It has good curative effect to popularize.