中药排石饮结合体外冲击波碎石术治疗输尿管结石的疗效观察

Clinical Observation on Zhongyao Paishi Decoction Combined with Extracorporeal Shock Wave Lithotripsy in Treating Ureteral Calculus

目的:观察中药排石饮结合体外冲击波碎石术对输尿管结石临床治疗效果。方法:将448例输尿管结石患者随机分为2组,对照组217例患者采取体外冲击波碎石术进行治疗,观察组231例患者在体外冲击波碎石术治疗的基础上,加服中药排石汤,比较2组的临床效果。结果:观察组治愈率为55.8%,总有效率为90.9%,对照组治愈率为44.7%,总有效率为82.9%,2组比较存在显著统计学意义;治愈患者的碎石次数比较,观察组的第3次碎石比率为8.6%,低于对照组的17.5%,差异有统计学意义;2组治愈患者中,观察组14 d以内结石排除患者占72.9%,高于对照组的43.4%,差异有统计学意义。结论:中药排石饮结合体外冲击波碎石术可有效提高输尿管结石的治愈率,减少碎石次数,缩短疗程,疗效确切。

Objective： To observe the clinical effects of Zhongyao Paishi Decoction（ the decoction of calculus-discharging） combined with extracorporeal shock wave lithotripsy（ ESWL） in treating ureteral calculus. Methods： A total of 448 patients with ureteral calculus were randomly divided into treatment group（ 217 patients） and control group（ 231 patients）. Both groups were treated with ESWL,while the treatment group was additionally treated with Zhongyao Paishi Decoction. The clinical effects of the two groups were compared after treatment. Results： The cure rate and the total effective rate in the treatment group were 55. 8% and90. 9%,being obviously higher than those in the control group（ 44. 7% and 82. 9%）（ P 〈 0. 05）. The success rate for 3 sessions in the treatment group（ 8. 6%） was lower than in control group（ 17. 5%）（ P 〈 0. 05）,revealing that the treatment times for curing one patient in treatment group was fewer than that of control group. Patients cured within 14 days in the treatment group（ 72. 9%） was greater than in control group（ 43. 3%）（ P 〈 0. 05）. Conclusion： Zhongyao Paishi Decoction combined with ESWL can effectively improve the cure rate of ureteral calculus,reduce the treatment times and shorten the treatment course.