【摘要】：目的:探討加減三金排石湯對留置D-J管期間患者相關(guān)并發(fā)癥的效果及對D-J管附壁結(jié)石形成的影響。方法:選取92例石淋微創(chuàng)手術(shù)后常規(guī)留置DJ患者分為實驗組46例,空白組46例,所有患者在術(shù)后尿路感染控制后,囑患者適當多飲水,空白組未給予藥物治療,治療組患者服用加減三金排石湯,日1副,早晚分服,連服3周。分別對兩組受試患者在實驗1周、2周、3周分別進行復(fù)查尿常規(guī),檢測尿中白細胞情況,調(diào)查三個時間段內(nèi)人均出現(xiàn)肉眼血尿的次數(shù)和人均疼痛不適的次數(shù)及膀胱刺激征的情況,同時使用疼痛評估量表量化評估留置D-J管期間患者的疼痛情況。術(shù)后3周行膀胱鏡下D-J管拔除術(shù),拔除D-J管后對D-J管進行肉眼觀察是否有明顯結(jié)石形成、測量其結(jié)石量。將所得數(shù)據(jù)進行歸納總結(jié)并比較。結(jié)果:兩組受試患者復(fù)查尿常規(guī)尿路感染復(fù)發(fā)情況差異具有統(tǒng)計學(xué)意義(P0.05);兩組受試者在1周、2周、3周內(nèi)人均疼痛不適次數(shù)、肉眼血尿次數(shù)以及膀胱刺激征情況差異具有統(tǒng)計學(xué)意義(P0.05);兩組受試者在1周、2周、3周時疼痛評估量表得分差異具有統(tǒng)計學(xué)意義(P0.05);兩組第3周實驗結(jié)束時D-J管附壁結(jié)石重量具有統(tǒng)計學(xué)意義(P0.05)。治療組在預(yù)防DJ管皮殼/結(jié)石形成、排石、抗炎、止痛、止血方面均優(yōu)于對照組,具有預(yù)防D-J管管壁結(jié)石結(jié)石形成,控制及預(yù)防感染,緩解或消除疼痛不適及血尿問題。結(jié)論:石淋微創(chuàng)術(shù)后患者在留置D-J管期間服用加減三金排石湯不但能夠有效控制留置D-J管期間的部分相關(guān)并發(fā)癥,而且能夠改善患者的生活質(zhì)量,并預(yù)防管壁結(jié)石的形成。
[Abstract]:Objective: to investigate the effect of Sanjinpaishi decoction on complications of patients with D-J tube indwelling and the formation of D-J tube wall stone. Methods: 92 patients with conventional indwelling DJ were divided into experimental group (n = 46) and blank group (n = 46). The patients in the treatment group were treated with Sanjinpaishi decoction, 1 day, morning and evening, 3 weeks. The two groups of patients were examined urine routine during the first week, the second week and the third week, the white blood cells in the urine were detected, the frequency of naked hematuria, the times of pain and discomfort and the bladder irritation were investigated in three time periods. Pain assessment scales were also used to quantify the pain status of patients with D-J tube indwelling. D-J tube was removed under cystoscope 3 weeks after operation. After removing D-J tube, naked eye observation was carried out on D-J tube to observe whether there was obvious stone formation, and the amount of stone was measured. The data are summarized and compared. Results: there was significant difference in the recurrence of urinary tract infection between the two groups (P0.05). There were statistically significant differences in the number of hematuria and bladder irritation between the two groups (P0.05), the difference in pain assessment scale scores between the two groups at the end of 1 week and 2 weeks and 3 weeks (P0.05); D-J tube wall attachment at the end of the third week of the experiment in the two groups (P0.05). Stone weight was statistically significant (P0.05). The treatment group was superior to the control group in preventing DJ tube shell / stone formation, lithotomy, anti-inflammation, pain relief and hemostasis. The treatment group had the advantages of preventing D-J tube wall stone formation, controlling and preventing infection, alleviating or eliminating pain discomfort and hematuria problems. Conclusion: during the period of indwelling D-J tube, the patients treated with Sanjinpaishi decoction not only can effectively control some complications during the period of indwelling D-J tube, but also can improve the quality of life of patients and prevent the formation of wall stone.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R699

【參考文獻】

相關(guān)期刊論文 前10條

1 包健;袁杰;;三金排石湯聯(lián)合體外沖擊波碎石術(shù)治療泌尿系結(jié)石臨床研究[J];四川中醫(yī);2015年07期

2 曹祥明;劉嘉銘;廖邦華;朱池海;李虹;羅德毅;王建忠;王坤杰;;雙J管管壁結(jié)石形成影響因素的橫斷面研究[J];四川大學(xué)學(xué)報(醫(yī)學(xué)版);2015年03期

3 張建華;張衛(wèi);陳躍龍;申吉泓;;雙J管生物膜相關(guān)感染臨床特點及藥敏實驗分析[J];世界最新醫(yī)學(xué)信息文摘;2015年37期

4 崔學(xué)江;胡明;徐勛;關(guān)禮賢;楊云杰;趙振華;;上尿路結(jié)石術(shù)后雙J管管殼結(jié)石形成因素的臨床研究[J];嶺南現(xiàn)代臨床外科;2015年02期

5 許浩輝;馮松杰;;雞內(nèi)金治療石淋之探討[J];四川中醫(yī);2015年04期

6 包龍飛;;泌尿排石湯配合針灸治療泌尿系結(jié)石的臨床思路構(gòu)建[J];中國醫(yī)藥指南;2015年09期

7 姜坤;施瑜;;排石湯聯(lián)合西藥治療泌尿系結(jié)石隨機平行對照研究[J];實用中醫(yī)內(nèi)科雜志;2015年03期

8 李宗山;;通淋排石湯聯(lián)合西醫(yī)常規(guī)療法治療泌尿系結(jié)石療效研究[J];臨床醫(yī)藥文獻電子雜志;2015年08期

9 郭濤;;研究中醫(yī)針灸結(jié)合中藥泌尿排石湯用于泌尿系結(jié)石治療[J];臨床醫(yī)藥文獻電子雜志;2015年04期

10 尹毅;何安民;;三金車前子湯配合西藥治療泌尿系結(jié)石34例[J];陜西中醫(yī);2014年11期

，

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