【摘要】：目的:本文旨在觀察我院自擬排石顆粒聯(lián)合體外沖擊波碎石術(shù)治療濕熱蘊(yùn)結(jié)型輸尿管結(jié)石的臨床療效,探討自擬排石顆粒對(duì)體外沖擊波碎石術(shù)后輸尿管結(jié)石治愈率、總有效率等的影響。材料與方法:本研究采用回顧性分析方法,選取2015年1月至2016年1月期間遼寧省中醫(yī)院泌尿外科門(mén)診及住院患者,其中符合輸尿管結(jié)石診斷標(biāo)準(zhǔn)以及中醫(yī)辨證分型為濕熱蘊(yùn)結(jié)證型的患者74例。治療組42例(56.8%),予體外沖擊波碎石術(shù)聯(lián)合服用自擬排石顆粒治療。對(duì)照組32例(43.2%),予單純體外沖擊波碎石治療。兩組患者同時(shí)予相應(yīng)的西醫(yī)解痙止痛治療。分析兩組病例治療總有效率及治愈率、主要臨床癥狀及體征評(píng)分、輸尿管結(jié)石排出時(shí)間、血尿等療效指標(biāo)變化,得出相應(yīng)結(jié)論。結(jié)果:1、治療組的治愈率為73.81%,總有效率為95.24%,對(duì)照組的治愈率為53.13%,總有效率為81.25%,兩組相比P0.05有顯著差異,表明對(duì)于治愈率、總有效率,治療組療效優(yōu)于對(duì)照組。2、治療組結(jié)石排出率(73.81%),與對(duì)照組(53.13%)相比較P0.05有顯著差異,表明對(duì)于結(jié)石排出率,治療組高于對(duì)照組。3、治療組結(jié)石排出時(shí)間(8.87士2.23)天,與對(duì)照組(11.71士1.31)天相比P0.05有顯著差異,表明對(duì)于結(jié)石排出時(shí)間,治療組短于對(duì)照組。4、治療組及對(duì)照組治療前后主要臨床癥狀體征評(píng)分(P0.05)有顯著差異,表明上述兩種治療方案均明顯緩解輸尿管結(jié)石的癥狀及體征,治療組療效優(yōu)于對(duì)照組。5、兩組治療后血尿(鏡下血尿),治療組為(4.33±2.51)個(gè)/HP,與對(duì)照組(5.44±1.88)個(gè)/HP相比,P0.05有差異,表明對(duì)于改善血尿癥狀,治療組優(yōu)于對(duì)照組。結(jié)論:遵循中醫(yī)辨證施治指導(dǎo)原則,遼寧省中醫(yī)院泌尿外科自擬清熱利濕,通淋排石之排石顆粒,對(duì)輸尿管結(jié)石經(jīng)體外沖擊波碎石術(shù)后的患者,有明顯的促進(jìn)結(jié)石排出作用。根據(jù)對(duì)比兩組病例的主要臨床療效指標(biāo)結(jié)果,研究表明治療組比對(duì)照組能明顯改善輸尿管結(jié)石患者臨床癥狀,提高結(jié)石排出率,減少結(jié)石排出時(shí)間,有較高臨床應(yīng)用價(jià)值。
[Abstract]:Objective: to observe the clinical effect of self-made lithotripsy combined with extracorporeal shock wave lithotripsy in the treatment of ureteral calculi with damp-heat accumulation, and to explore the cure rate of ureteral calculi after extracorporeal shock wave lithotripsy (ESWL). The effect of total efficiency, etc. Materials and methods: retrospective analysis was used to select outpatients and inpatients from January 2015 to January 2016 in the Urology Department of Liaoning Province traditional Chinese Medicine Hospital. 74 cases of ureterolithiasis were diagnosed according to the criteria of ureterolithiasis and syndrome differentiation of traditional Chinese medicine. 42 cases (56.8%) in the treatment group were treated with extracorporeal shock wave lithotripsy combined with self-made Paishi granule. 32 cases (43.2%) in the control group were treated with extracorporeal shock wave lithotripsy alone. The patients in both groups were treated with western medicine to relieve spasmolysis and pain at the same time. The total effective rate and cure rate, main clinical symptoms and signs, ureteral stone excretion time and hematuria were analyzed in the two groups, and the corresponding conclusions were drawn. Results: 1, the cure rate of the treatment group was 73.81, the total effective rate was 95.24, the cure rate of the control group was 53.133.13and the total effective rate was 81.250.There was significant difference between the two groups (P0.05), which indicated that the total effective rate was the cure rate. The curative effect of the treatment group was better than that of the control group. 2. The stone excretion rate in the treatment group (73.81%) was significantly higher than that in the control group (53.13%), which indicated that the stone excretion rate in the treatment group was higher than that in the control group. Compared with the control group (11.71 鹵1.31) days, the stone excretion time of the treatment group (8.87 鹵2.23) days was significantly different from that of the control group (11.71 鹵1.31) days, which indicated that the stone excretion time of the treatment group was shorter than that of the control group. The scores of major clinical symptoms and signs before and after treatment were significantly different between the treatment group and the control group (P0.05), which indicated that the above two treatment schemes significantly alleviated the symptoms and signs of ureteral calculi, and the curative effect of the treatment group was better than that of the control group (5. 5%). Compared with the control group (5.44 鹵1.88) / HP, the treatment group (4.33 鹵2.51) / HP, was significantly higher than the control group (P0.05), which indicated that the treatment group was superior to the control group in improving hematuria symptoms. Conclusion: according to the guiding principle of syndrome differentiation and treatment of traditional Chinese medicine, the Chinese medicine department of traditional Chinese medicine of Liaoning province has the function of promoting the excretion of the ureteral stone by removing heat and dampness and removing the stone through the treatment of ureteral calculi after extracorporeal shock wave lithotripsy (ESWL). According to the results of the main clinical efficacy indexes of the two groups, the study shows that the treatment group can obviously improve the clinical symptoms of ureteral calculi patients, increase the stone excretion rate, reduce the stone excretion time, and has higher clinical application value than the control group.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R269

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張學(xué)峰;李慧;董禮明;;ESWL治療雙J管表面結(jié)石[J];中國(guó)實(shí)用醫(yī)藥;2008年33期

2 王小娟;劉玉琴;;ESWL治療輸尿管較大結(jié)石的體會(huì)[J];內(nèi)蒙古醫(yī)學(xué)雜志;2010年S6期

3 ;門(mén)診ESWL治療并發(fā)癥的臨床觀察[J];國(guó)外醫(yī)學(xué).泌尿系統(tǒng)分冊(cè);1996年04期

4 姜存積，虞新超，李宏，孫學(xué)斌，伊莉妹;ESWL治療腎鹿角形結(jié)石[J];中華泌尿外科雜志;1994年03期

5 鄧耀良，陳堅(jiān)，甘俊常;上尿路結(jié)石ESWL治療后再行開(kāi)放手術(shù)原因分析（附37例報(bào)告）[J];臨床泌尿外科雜志;1996年03期

6 馬克鈞,呂虹,孫浩,秦劍影;ESWL治療腎鹿角形結(jié)石(附20例報(bào)告)[J];鎮(zhèn)江醫(yī)學(xué)院學(xué)報(bào);2000年02期

7 葉超平;ESWL治療腎取石術(shù)后殘余結(jié)石81例報(bào)告[J];華夏醫(yī)學(xué);2002年04期

8 王靖宇;程偉;曹曉明;王東文;;輸尿管鏡術(shù)與ESWL治療輸尿管遠(yuǎn)端結(jié)石的療效對(duì)比[J];中國(guó)中西醫(yī)結(jié)合外科雜志;2010年02期

9 雷光前，康德廣，，向軍，周健輝，袁琪;ESWL治療腎鹿角形結(jié)石[J];中華泌尿外科雜志;1994年03期

10 張永林,崔紅燕;ESWL治療腎內(nèi)大塊型結(jié)石的長(zhǎng)期隨訪(fǎng)[J];山西醫(yī)學(xué)院學(xué)報(bào);1996年04期

相關(guān)會(huì)議論文 前10條

1 仝華;單玉喜;崔勇;高潔;;寬焦斑-低壓力ESW與窄焦斑大口徑ESWL治療泌尿系結(jié)石臨床體會(huì)[A];2007年華東六省一市泌尿外科學(xué)術(shù)會(huì)議暨山東省泌尿外科年會(huì)論文匯編[C];2007年

2 馬雪中;張亞大;顧曉箭;;ESWL治療鈥激光術(shù)后殘石83例體會(huì)[A];第七次中國(guó)中西醫(yī)結(jié)合泌尿外科學(xué)術(shù)年會(huì)暨第二次廣東省中西醫(yī)結(jié)合泌尿外科學(xué)術(shù)年會(huì)論文集[C];2009年

3 程廣;謝立平;;ESWL治療移植腎結(jié)石(附7例報(bào)告)[A];2006年浙江省泌尿外科學(xué)術(shù)會(huì)議論文匯編[C];2006年

4 張美英;;ESWL治療腎結(jié)石的體會(huì)[A];全國(guó)外科護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議論文匯編[C];2002年

5 劉蕾;;寧泌泰膠囊聯(lián)合ESWL治療輸尿管結(jié)石的療效觀察[A];2013年貴州省泌尿外科學(xué)術(shù)會(huì)議論文匯編[C];2013年

6 李高輝;李世江;沈崇有;蘇石斌;李家平;邱偉明;;腎結(jié)石ESWL治療后引起輸尿管梗阻的回顧[A];中國(guó)中西醫(yī)結(jié)合泌尿外科專(zhuān)業(yè)委員會(huì)第四次學(xué)術(shù)會(huì)議、浙江省中西醫(yī)結(jié)合泌尿外科男科專(zhuān)業(yè)委員會(huì)第三次學(xué)術(shù)會(huì)議暨泌尿外科男科疾病中西醫(yī)研究新進(jìn)展學(xué)習(xí)班資料匯編[C];2003年

7 路志紅;沈瑞林;何旭峰;;ESWL治療輸尿管中下段結(jié)石308例臨床療效分析[A];2009年浙江省男科、泌尿外科學(xué)術(shù)年會(huì)論文匯編[C];2009年

8 姜鳳鳴;候宇川;王春喜;;ESWL治療失敗輸尿管結(jié)石鈥激光處理[A];第十六屆全國(guó)泌尿外科學(xué)術(shù)會(huì)議論文集[C];2009年

9 李忠遠(yuǎn);王志新;張小平;張大虎;郭永連;;X-線(xiàn)定位低能量ESWL治療腎結(jié)石遠(yuǎn)期效果(附937例報(bào)告)[A];第十五屆全國(guó)泌尿外科學(xué)術(shù)會(huì)議論文集[C];2008年

10 開(kāi)凱;陳向東;丁滿(mǎn)棠;湯海;肖軍;楊鯤;郭一俊;;置入雙J管后ESWL治療腎結(jié)石的體會(huì)[A];第十五屆全國(guó)泌尿外科學(xué)術(shù)會(huì)議論文集[C];2008年

相關(guān)碩士學(xué)位論文 前5條

1 李甫根;輸尿管鏡鈥激光碎石術(shù)與ESWL治療輸尿管上段1cm以上結(jié)石療效比較[D];新疆醫(yī)科大學(xué);2015年

2 鄒乃建;自擬排石顆粒聯(lián)合ESWL治療濕熱蘊(yùn)結(jié)型輸尿管結(jié)石臨床回顧[D];遼寧中醫(yī)藥大學(xué);2016年

3 王神香;URL與ESWL治療輸尿管結(jié)石的臨床療效分析[D];延安大學(xué);2013年

4 李升平;HL與ESWL治療小兒輸尿管結(jié)石的臨床研究[D];新疆醫(yī)科大學(xué);2012年

5 崔海濱;結(jié)石CT值與結(jié)石成分及ESWL治療效果相關(guān)性的研究[D];天津醫(yī)科大學(xué);2005年

本文編號(hào)：2315957