中西医结合治疗糖尿病合并肾结石的临床研究

Clinical Study of Integrated Traditional Chinese and Western Medicine Therapy for Diabetes and Kidney Stones

目的研究分析中西医结合治疗糖尿病合并肾结石的临床效果。方法择取该院2014年7月—2015年7月期间进行诊治的82例糖尿病合并肾结石患者,运用随机抽签法进行平均分组,一组41例患者采取经皮肾镜碎石术进行单纯西医治疗设为对照组;一组41例患者采取经皮肾镜碎石术结合知柏地黄汤进行中西医结合治疗设为研究组。结果研究组患者的总有效率约为92.68%(38/41)远远高于对照组的73.17%(30/41),差异有统计学意义(P<0.05)。研究组患者的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、24 h尿蛋白(24 h PR)、白蛋白(ALB)的水平明显优于对照组,差异有统计学意义(P<0.05)。结论中西医结合治疗糖尿病合并肾结石的临床疗效甚佳,可有效调节血糖水平及生化指标,降低并发症的发生,具有良好的应用价值及推广前景。

Objective To study and analyze the clinical effect of integrated traditional Chinese and western medicine thera-py on diabetes and kidney stones. Methods Eighty-two patients with diabetes and kidney stones diagnosed and treated in our hospital from July 2014 to July 2015 were selected and equally divided into the control group and the study group in accordance with the random drawing method with 41 cases in each. Patients in the control group were treated by western medicine, percutaneous nephrolithotomy, and those in the study group were treated by integrated traditional Chinese and Western medicine therapy, percutaneous nephrolithotomy and Zhibai Dihuang Decoction. Results The overall response rate was much higher in the study group than that in the control group [92.68% （38/41） vs 73.17% （30/41）], the difference be-tween the two groups was statistically significant（P〈0.05）. The levels of fasting blood glucose（FBG）, 2h postprandial blood glucose（2hPG）, 24 h urine protein（24h PR） and albumin（ALB） in the study group were much better than those in the control group with statistically significant difference （P〈0.05）. Conclusion For diabetes and kidney stones, integrated traditional Chinese and western medicine therapy has good clinical effect, which can effectively regulate the levels of blood glucose and biochemical indicators and reduce the incidence of complications with good application value and promotion prospects.