三金消石汤加减治疗泌尿系统结石40例

Treating 40 cases of urinary calculus with the Sanjin Xiaoshi decoction

目的:观察三金消石汤加减治疗泌尿系结石的疗效。方法:选择我院门诊已确诊泌尿系结石患者80例,按照随机数字表法分为观察组(40例)和对照组(40例),将其中对照组患者予以排石颗粒口服治疗,观察组中的40例患者进行中医辨证,在对照组治疗的基础上另予以口服三金消石汤加减治疗加基础治疗,1周为一个疗程,观察其用药后临床疗效。结果:治疗2个疗程后,观察组总有效率为90%,明显高于对照组的75%,差异具有统计学意义(P<0.05);其中观察组中医证候积分为(7.83±2.47)分,下降幅度明显高于对照组的(12.32±2.36)分,组间比较,差异具有统计学意义(P<0.05);观察组患者总不良反应发生率为22.50%,相对于对照组的47.50%低,差异具有统计学意义(P<0.05)。结论:经过三金消石汤加减治疗能明显改善泌尿系结石患者临床症状,提高结石清除率并减少不良反应发生。

Objective:To observe the effect of the Sanjin Xiaoshi decoction(三金消石汤)on urinary calculus.Methods:80 patients were divided into the observation group(40 cases)and control group(40 cases).The control group was treated with the Paishi granule(排石颗粒).The observation group was treated by TCM syndrome differentiation and the Sanjin Xiaoshi decoction more.Results:After two courses,the total efficiency was 90.00%in the observation group,significantly higher than 75.00%in the control group,P<0.05.TCM syndrome scores was(7.83±2.47)scores in the observation group,significantly lower than(12.32±2.36)scores in the control group,P<0.05.The total incidence of adverse reactions was 22.50%in the observation group,significantly lower than 47.50%in the control group,P<0.05.Conclusion:The Sanjin Xiaoshi decoction can obviously improve the clinical symptoms,improve the stone clearance rate and reduce the incidence of adverse reactions.