体外碎石联合中药排石治疗泌尿系结石的临床效果

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Abstract To investigate the clinical efficiency of external lithotripsy combined with traditional Chinese medicine lithotripsy in the treatment of urinary calculi. Methods A total of 646 patients who received extracorporeal shock wave lithotripsy lithotripsy in Fushun Hospital of Traditional Chinese Medicine of Liaoning Province from August 2016 to August 2020 were selected. All patients were divided into observation group and control group by random number table method, with 323 cases in each group. The control group was treated with Shenzhen new element SYS.SUI-6X extracorporeal shock wave lithotripsy, and the patients were told to take more activities and drink more water after surgery. On the basis of control group, observation group was given Chinese medicine No.4 Paishi Granule to assist in removing stones for two courses. Total effective rate, stone clearance rate, stone clearance time, analgesic time, recurrence rate after 12 months and incidence of adverse reactions were compared between the two groups after treatment. Results The total effective rate of the observation group was significantly higher than that of the control group, and the difference was highly statistically significant (P ＜ 0.01). The stone clearance rate of the first course of treatment in the observation group was higher than that in the control group, and the difference was highly statistically significant (P ＜ 0.01). There was no significant difference in stone clearance rate between the two groups in the second course of treatment (P ＞ 0.05). The stone clearance time and analgesic time in the observation group were significantly shorter than those in the control group, and the difference was highly statistically significant (P ＜ 0.01). There was no significant difference in the recurrence rate between the two groups after 12 months (P ＞ 0.05). The incidence rate of pain and fever in the observation group was significantly lower than that in the control group, the difference was highly statistically significant (P ＜ 0.01). Conclusion External lithotripsy combined with traditional Chinese medicine lithotripsy can make it more targeted and effective to remove urinary calculus, and reduce the incidence of disease. The combination therapy is safe and worthy of clinical promotion.

Key words： Extracorporeal shock wave lithotripsy Traditional Chinese medicine lithotripsy Stone clearance rate Efficiency Calculus clearing time

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WANG Guilin. Clinical Effect of external lithotripsy combined with traditional Chinese medicine lithotripsy in the treatment of urinary calculi[J]. 中国医药导报, 2021, 18(15): 88-91.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I15/88

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