尿石清冲剂对上尿路结石ESWL后治疗作用的研究

The Curative Effects of Niao-shi-qing Grain on Urolithes in Upper Urinary Tract After ESWL

【目的】探讨尿石清颗粒冲剂对上尿路结石体外冲击波碎石 (ESWL)后的协同排石、预防并发症与复发的作用。【方法】将 32 8例上尿路结石患者ESWL后分为治疗组 1 72例和对照组 1 5 6例 ,治疗组给予口服尿石清颗粒冲剂和一般治疗 ,对照组仅予一般治疗。【结果】治疗组加服尿石清颗粒后治愈率为 86 .0 5 % ,明显高于对照组 (6 9.87% ) ,两组相比差异有非常显著性 (P <0 .0 1 ) ;复发率为 2 .6 8%明显低于对照组(8.91 % ) ,两组相比差异有显著性 (P <0 .0 5 )。而治疗组石街形成率 (0 .5 8% )和肾绞痛发生率 (1 .1 6 % )也低于对照组 (4 .4 9% )和 (5 .1 3% ) ,两组相比差异均有显著性 (P <0 .0 5 )。【结论】采用尿石清颗粒治疗ESWL术后患者 ,能提高治愈率。

To discuss the curative effects of Niao-shi-qing Grain on calculi in upper urinary tract (CUUT) after extracorporeal shock wave lithotripsy (ESWL), including its coordinative elimination of urolithes, prevention of complication and recurrence.Three hundred and twenty-eight patients with CUUT were randomly divided into two groups:①Treated group, 172 patients were given with Niao-shi-qing Grain per os in addition to general treatment ; ②Control group, 156 patients were treated with routine therapy only.The cure rate in treated group was 86.05% as compared with 69.87% in control group, showing significant difference between both groups (P<0.01); whereas the recurrence rate in the former ( 2.68 %) was obviously lower than that in the latter (8.91%)(P<0.05). The rates of ”stone street” formation (0.58%) and renal colic (1.16%) in treated group were also lower than those in the control (4.49% and 5.13 %); significant difference existed when both groups were compared (P<0.05).[Conclusion]Niao-shi-qing Grain therapy after ESWL can promote the cure rate of CUUT patients, reduce the recurrence rate of urolithes in urinary tract and their complications.