中药方剂五苓散在CT尿路造影中的应用研究

Application Value of Wulin Powder in the Computed Tomography Urography Examination

目的探讨中药方剂五苓散在CT尿路成像(CTU)中的应用价值。方法随机选择行CTU检查患者40例患者分为五苓散组和呋塞米组,各20例。通过对比分析两组尿路显影的连续性,肾盏、肾盂、输尿管和膀胱解剖结构的显示情况以及肾盂各段输尿管的CT值。结果口服五苓散组CTU检查患者中,尿路显影的连续性及肾盏、肾盂、输尿管和膀胱解剖结构的显示,肾盂及各段输尿管CT值与呋塞米组比较,差异均无统计学意义(P>0.05),且无不良反应发生。结论口服五苓散在CTU检查中具有与静脉注射小剂量呋塞米相似尿路显影效果和检查效率,且安全可行,为不能行呋塞米CTU检查患者提供新的方法。

Objective To investigate the value of the wulin powder in CT urography（CTU）.Methods Forty patients with CTU examination randomly were divided into Wulin Powder group（n = 20） and furosemide group（n = 20）.The continuity of urinary tract imaging,anatomical structure of renal calices and renal pelvis,ureter and bladder,CT value of the renal pelvis and paragraphs of the ureteral of two groups were comparatively analyzed.Results In CTU examination in patients with oral wulin powder group,the continuity of urinary tract imaging and the anatomic structure of renal calices and renal pelvis,ureter and bladder,CT value of the renal pelvis and paragraphs of the ureteral compared with those of the furosemide group had no statistical significance（P〉 0.05） and no adverse reaction occurred.Conclusion The oral wulin powder in CTU examination is similar with the enhancement effect and checking efficiency of the furosemide,safe and feasible.It provides a new method for patients with unable use furosemide in the CTU examination.