摘要
目的:探讨排石汤治疗嵌顿性输尿管结石对患者,中医证候、肾功能的影响。方法:选取2021年2月-2022年1月湖北麻城市人民医院收治的嵌顿性输尿管结石患者70例,用随机数字表法将其分为观察组和对照组,各35例。对照组给予盐酸坦索罗辛缓释胶囊治疗,观察组患者在对照组基础上给予中药排石汤联合治疗,两组均连续治疗14 d。比较两组各项指标。结果:观察组的临床总有效率、净石率与对照组治疗后相比更高。两组患者腰痛少腹急结、小便短涩、尿中带血、溺时涩痛评分等指标均有所降低,且观察组低于对照组;尿柠檬酸水平均有所升高,对照组低于观察组,P<0.05。结论:嵌顿性输尿管结石采用排石汤进行治疗,可以提高净石率,减轻患者症状,改善肾功能和尿代谢,且无较大不良反应。
Objective:To investigate the effect of the Paishi decoction(排石汤)on the TCM syndromes and renal function in patients with incarcerated ureteral calculi.Methods:A total of 70 patients with incarcerated ureteral calculi admitted to Macheng People’s Hospital were selected and divided into an observation group of 35 cases and a control group of 35 cases.The grouping method was random number table method,and the selection time was from February 2021 to January 2022.The control group was givenO tamsulosin hydrochloride sustained-release capsules,and the observation group was given the Paishi decoction on the basis of the treatment in the control group.Both groups were given continuous treatment for 14 days.The indicators in two groups were compared.Results:Compared with the control group,the clinical total effective rate and stone clearing rate in the observation group were higher.The scores of low back pain,short and astringent urination,blood in urine and astringent pain in drowning in both groups were decreased,and those in the observation group were lower than the control group.Urine citric acid level was increased in both groups,while that in the control group was lower than that in the observation group(P<0.05).Conclusion:The treatment of incarcerated ureteral calculi with the Paishi decoction can improve the stone clearance rate,relieve the symptoms of patients,improve renal function and urine metabolism,and has no major adverse reactions.
出处
《中医临床研究》
2023年第29期110-113,共4页
Clinical Journal Of Chinese Medicine
关键词
嵌顿性输尿管结石
排石汤
尿素氮
血肌酐
胱抑素C
Incarcerated ureteral calculi
The Paishi decoction
Blood urea nitrogen
Serum creatinine
Cystatin C
