摘要
[目的]观察金砂排石汤联合西药治疗肾结石疗效。[方法]使用随机平行对照方法,将60例门诊及住院患者按病志号抽签法简单随机分为两组。对照组30例山莨菪碱15mg＋生理盐水250m L,1次/d,静滴;800万IU青霉素＋生理盐水250m L,1次/d,静滴;碳酸氢钠,0.25-2g/片,3次/d,口服。治疗组30例金砂排石汤（金钱草30g,鸡内金、白芍、扁蓄、海金砂、滑石各20g,车前草、瞿麦、王不留行、乌药、威灵仙、牛膝各15g,甘草6g）,1剂/d,水煎200m L,早晚餐后2h温服;西药治疗同对照组。观测临床症状、尿素氮、血肌酐、结石、不良反应。连续治疗3个月为1疗程。治疗1疗程,判定疗效。[结果]治疗组痊愈18例,有效10例,无效2例,总有效率93.33%。对照组痊愈9例,有效13例,无效8例,总有效率73.33%。治疗组疗效优于对照组（P〈0.05）。[结论]金砂排石汤联合西药治疗肾结石效果显著,值得推广。
[Objective]To observe the Jinsha row of stone soup combined with western medicine kidney stones treatment. [Methods]Using random parallel control method,60 cases of outpatient and inpatient numbers lottery law by disease Chi simple randomized into two groups. The control group 30 cases 15 mg anisodamine ＋ 250 m L saline,1 times / d,intravenous infusion. 8,000,000 IU penicillin ＋ 250 m L saline,1 times / d,intravenous infusion. Sodium bicarbonate,0.25 - 2g / tablets,3 times / d,orally. Treatment group 30 cases Jinsha row of stone soup（loosestrife 30 g,Gallus gallus domesticus,white peony root,flat storage,sea Jinsha,talc each 20 g,plantain,Qumai,Vaccaria,aggregata,Clematis,Achyranthes each 15 g,licorice 6g）,1/ d,decoction 200 m L,sooner or later,2h postprandial warm clothes. Western medicine with the control group. Observation of clinical symptoms,blood urea nitrogen,serum creatinine,X-ray,stones,adverse reactions. 3 months continuous treatment for a course of treatment. A course of treatment to determine efficacy. [Results]The cure 18 cases,10 cases,2 cases,the total efficiency of 93.33%. In the control group healed nine cases,effective 13 cases,8 cases,the total efficiency of 73.33%. Treatment group than the control group（P〈0.05）. [Conclusion]Jinsha row of stone soup combined with western medicine kidney stones,the effect is significant,it is worth promoting.
出处
《实用中医内科杂志》
2015年第1期115-117,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
肾结石
金砂排石汤
山莨菪碱
青霉素
碳酸氢钠
尿素氮
血肌酐
中西医结合治疗
随机平行对照研究
kidney stones
Jinsha row of stone soup
anisodamine
penicillin
sodium bicarbonate
urea nitrogen
creatinine
X-ray film
stones
integrative medicine
randomized parallel group study
