摘要
目的分析不同频率体外冲击波碎石对尿路结石患者治疗效果。方法选取2018年1月—2021年10月广东省连州市连州镇中心卫生院治疗的180例尿路结石患者为研究对象,依照随机分配的方式分为对照组、治疗组1和治疗组2,每组60例。对照组患者接受常规体外冲击波碎石治疗,治疗组1患者接受低能量低频率治疗,治疗组2患者接受高能量高频率体外冲击波碎石治疗。对比3组患者术后治疗效果。结果治疗后,治疗组1患者治疗总有效率达到83.33%,治疗组2患者治疗总有效率为75.00%,组间差异无统计学意义(P>0.05);治疗组1与治疗组2治疗效果均高于对照组,差异有统计学意义(P<0.05)。治疗组1患者术后血尿天数(2.1±1.7)d及肾绞痛发生率30.00%均低于治疗组2,组间差异有统计学意义(t=14.890,χ^(2)=12.117,P<0.05),但治疗组1二次碎石例数与治疗组2组间对比,差异无统计学意义(P>0.05)。结论体外冲击波碎石治疗时,应选择低能量低频率的方式,可以在保证治疗效果的同时,减少对患者肾组织的损害,安全性较为理想。
Objective To analyze of the therapeutic effect of different frequencies of extracorporeal shock wave lithotripsy on patients with urinary tract stones.Methods A total of 180 patients with urinary calculi treated in Lianzhou Town Center Health Center from January 2018 to October 2021 were randomly selected as the research objects,and the patients were divided into control group,treatment group 1 and treatment group 2 according to random allocation,with 60 cases in each group.Patients in the control group received conventional extracorporeal shock wave lithotripsy,patients in treatment group 1 received low-energy and low-frequency therapy,and patients in treatment group 2 received high-energy and high-frequency extracorporeal shock wave lithotripsy.Comparison of postoperative treatment effect of 3 groups of patients.Results After treatment,the total effective rate of patients in treatment group 1 reached 83.33%,and the total effective rate of patients in treatment group 2 was 75.00%,and the difference was not statistically significant(P>0.05).The therapeutic effects of treatment group 1 and treatment group 2 were higher than those of the control group,and the difference was statistically significant(P<0.05).After treatment,the time of hematuria in treatment group 1 was(2.1±1.7)d and the incidence of renal colic was 30.00% lower than in treatment group 2,and the difference was statistically significant(t=14.890,χ^(2)=12.117,P<0.05),but there was no significant difference in the number of secondary lithotripsy between treatment group 1 and treatment group 2(P>0.05).Conclusion Extracorporeal shock wave lithotripsy should choose the low-energy and low-frequency method in the treatment plan of extracorporeal shock wave lithotripsy,which can reduce the damage to the renal tissue of patients while ensuring the therapeutic effect.
作者
黄晓川
曾雪花
欧阳文波
HUANG Xiaochuan;ZENG Xuehua;OUYANG Wenbo(Department of Surgery,Lianzhou Town Center Health Center,Qingyuan,Guangdong Province,513400 China;Laboratory Department,Lianzhou Town Center Health Center,Qingyuan,Guangdong Province,513400 China)
出处
《世界复合医学》
2022年第5期93-95,99,共4页
World Journal of Complex Medicine
基金
能量波及频率对ESWL治疗尿路不同成分结石的临床分析(200810094563868)。
关键词
频率
体外冲击波碎石治疗
尿路结石
Frequency
Extracorporeal shock wave lithotripsy
Urinary tract stones
