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自拟排石汤联合坦索罗辛辅助治疗对输尿管下段结石患者结石排净率及肾绞痛的影响 被引量:9

Effect of lithagogue decoction combined with tamsulosin on calculus removal rate and renal colic in patients with lower ureter calculus
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摘要 目的探讨自拟排石汤联合坦索罗辛辅助排石对输尿管下段结石患者结石排净率及肾绞痛的影响。方法选取2014年1月~2016年2月义乌市中心医院泌尿外科就诊的90例输尿管下段结石患者,按照随机、平等的分配原则分为A组(自拟排石汤联合坦索罗辛组)、B组(单纯坦索罗辛组)、C组(单纯中药汤剂组),每组各30例。观察并比较3组患者膀胱刺激征(尿频尿急)、输尿管绞痛、结石排出时间、结石排净率及不良反应发生率。结果 A组结石排出时间及结石排净率明显优于B、C组,差异具有统计学意义(P〈0.05);B、C 2组结石排出时间及结石排净率比较差异无统计学意义。C组尿频尿急和输尿管绞痛发生率均高于A、B组,差异具有统计学意义(P〈0.05);A、B组频尿急和输尿管绞痛发生率比较差异无统计学意义。3组在治疗过程中出现的不良反应情况:A组出现1例轻度腹泻和1例轻度眩晕,B组出现1例轻度头痛和1例轻度眩晕,C组未出现任何的不良反应情况。3组不良反应率比较差异无统计学意义。结论自拟排石汤联合坦索罗辛辅助排石治疗对于输尿管下段结石患者有着良好的效果,既能充分发挥西药的止痛解痉作用,也能更好地发挥中医排石通淋、镇痛消炎、清利湿热的作用,能提高结石排净率,缓解患者的肾绞痛。 Objective Analyzed from row stone soup combined tan solo symplectic auxiliary row stone calculi in patients with ureteral Duan Jieshi under net rate and the influence of renal colic,so as to provide the basis for clinical treatment.Methods 90 patients with ureteral Duan Jieshi under in our hospital from January 2014 to February 2016 were selected,urology clinic of according to random,the principle of equal distribution is divided into group A(from row stone soup combined tan solo symplectic group) and group B(pure tan solo symplectic group),group C(pure traditional Chinese medicine medicinal broth group),30 cases in each group.Observe and record the bladder irritation,frequent urination urgency),ureteral colic,discharge time,stones row net rate and incidence of adverse reactions after the comparison.Results In group A discharge time and stones row net both significantly better than B and C groups,the difference was statistically significant(P〈0.05);the discharge time and stones row net between group B and C was no statistically significant difference.Group C on frequent urination urgency and ureteral colic happens to have more of A and B groups,the difference was statistically significant(P〈0.05);there was no statistically significant difference between group A and B.Adverse reaction of three groups of appeared in the process of treatment:group A in one case of mild diarrhea and one case of mild dizziness,group B in one case of mild headache and one case of mild dizziness,group C not present any adverse reaction,there were no significant differences in the incidence of adverse reactions among the three groups.Conclusion From row stone soup with tan solo symplectic auxiliary platoon stone therapy has good effect for patients with ureteral Duan Jieshi under,can give full play to the acetanilide spasmolysis effect of western medicine,also can better exert TCM row Shi Tong drench,analgesic anti-inflammatory,clear the role of the hot and humid,can improve the stone free rate,relieve patients with renal colic.
出处 《中国生化药物杂志》 CAS 2017年第2期59-61,共3页 Chinese Journal of Biochemical Pharmaceutics
关键词 排石方法 药物保守治疗 输尿管 结石 肾绞痛 rows of stone method conservative medication ureteral stone renal colic
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