[1]周誠亮.通淋固本湯聯合體外沖擊波治療輸尿管上段結石的療效[J].醫學信息,2019,(22):144-146.[doi:10.3969/j.issn.1006-1959.2019.22.049]
 ZHOU Cheng-liang.Efficacy of Tonglin Guben Decoction Combined with Extracorporeal Shock Wave in the Treatment of Upper Ureteral Calculi[J].Medical Information,2019,(22):144-146.[doi:10.3969/j.issn.1006-1959.2019.22.049]
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通淋固本湯聯合體外沖擊波治療輸尿管上段結石的療效()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年22期
頁碼:
144-146
欄目:
中醫中藥
出版日期:
2019-11-15

文章信息/Info

Title:
Efficacy of Tonglin Guben Decoction Combined with Extracorporeal Shock Wave in the Treatment of Upper Ureteral Calculi
文章編號:
1006-1959(2019)22-0144-03
作者:
周誠亮
(奉新縣中醫院外科,江西 奉新 330700)
Author(s):
ZHOU Cheng-liang
(Department of Surgery,Fengxin County Traditional Chinese Medicine Hospital,Fengxin 330700,Jiangxi,China)
關鍵詞:
輸尿管上段結石通淋固本湯體外沖擊波清除率
Keywords:
Upper ureteral calculiTonglin Guben decoctionExtracorporeal shock waveClearance rate
分類號:
R699
DOI:
10.3969/j.issn.1006-1959.2019.22.049
文獻標志碼:
A
摘要:
目的 探討通淋固本湯聯合體外沖擊波治療輸尿管上段結石的療效。方法 選取2017年1月~2018年12月我院收治的輸尿管上段結石患者40例作為研究對象,按照隨機數字表法將其分為對照組和觀察組,每組20例。對照組給予體外沖擊波治療,觀察組在對照組基礎上聯合通淋固本湯治療,比較兩組臨床療效、治療前后生化指標[血肌酐(Scr)、半胱氨酸蛋白酶抑制劑C(Cys-C)、中性粒細胞明膠酶相關載脂蛋白(NGAL)]及結石清除率。結果 觀察組總有效率為95.00%,高于對照組的65.00%,差異有統計學意義(P<0.05);治療后,兩組Scr低于治療前,Cys-C、NGAL高于治療前,且觀察組Scr、Cys-C、NGAL優于對照組,差異有統計學意義(P<0.05);觀察組結石清除率為95.00%,高于對照組的65.00%,差異有統計學意義(P<0.05)。結論 通淋固本湯聯合體外沖擊波治療輸尿管上段結石可有效提高結石清除率,減低腎損傷,提高臨床治療效果。
Abstract:
Objective To investigate the efficacy of Tonglin Guben Decoction combined with extracorporeal shock wave in the treatment of upper ureteral calculi. Methods A total of 40 patients with upper ureteral calculi admitted to our hospital from January 2017 to December 2018 were enrolled. The patients were divided into control group and observation group according to the random number table method, 20 cases in each group. The control group was treated with extracorporeal shock wave therapy. The observation group was treated with Tonglin Guben Decoction on the basis of the control group. The clinical efficacy and biochemical parameters before and after treatment were compared. [Serum creatinine (Scr), cysteine protease inhibitor C (Cys-C), neutrophil gelatinase-associated apolipoprotein (NGAL)] and stone clearance. Results The total effective rate of the observation group was 95.00%, which was higher than that of the control group 65.00%,the difference was statistically significant (P<0.05). After treatment, the Scr of the two groups was lower than that before treatment, and Cys-C and NGAL were higher than before treatment. The Scr, Cys-C and NGAL in the observation group were better than the control group, the difference was statistically significant (P<0.05). The stone removal rate in the observation group was 95.00%, which was higher than that in the control group 65.00%,the difference was statistically significant (P<0.05).Conclusion Tonglin Guben Decoction combined with extracorporeal shock wave treatment of upper ureteral calculi can effectively improve the clearance rate of stones, reduce renal damage and improve the clinical treatment effect.

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更新日期/Last Update: 2019-11-15
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