论文部分内容阅读
目的观察体外冲击波碎石配合本院中医药专家排石汤组方及肌内注射(肌注)黄体酮治疗肾结石的疗效。方法 116例肾结石(<2 cm)患者,随机分成对照组和观察组,各58例。对照组采用体外碎石后配合消炎,解痉药治疗。观察组在此基础上口服本院排石组方及肌注黄体酮治疗。对比两组治疗效果。结果观察组患者腹痛、小便带血、肾积水消失时间分别为(9.1±3.3)、(12.7±2.8)、(2.3±2.5)h;对照组分别为(16.6±5.2)、(19.1±6.8)、(7.2±3.5)h;观察组腹痛、小便带血、肾积水消失时间明显优于对照组(P<0.05)。观察组总有效率为89.7%,明显高于对照组的60.3%,差异具有统计学意义(P<0.05)。观察组总复发率显著低于对照组,差异具有统计学意义(P<0.05)。结论体外冲击波碎石治疗配合中药排石及肌注黄体酮治疗肾结石疗效显著。
Objective To observe the therapeutic effect of extracorporeal shock wave lithotripsy combined with Paishi Decoction of Chinese medicine expert and intramuscular injection of progesterone (IM) on kidney stones. Methods A total of 116 patients with kidney stones (<2 cm) were randomly divided into control group and observation group, with 58 cases each. Control group with ex vivo grafting with anti-inflammatory, antispasmodic treatment. On the basis of this observation group, the patients in our hospital were treated by Paishi group and intramuscular injection of progesterone. Compare the two groups treatment effect. Results In the observation group, abdominal pain, urinary cord blood and disappearance of hydronephrosis were (9.1 ± 3.3) and (12.7 ± 2.8) and (2.3 ± 2.5) h, respectively, and those in the control group were (16.6 ± 5.2) and (19.1 ± 6.8) ), And (7.2 ± 3.5) h respectively. The observation group had better abdominal pain, urine blood and disappearance of hydronephrosis than the control group (P <0.05). The total effective rate in observation group was 89.7%, which was significantly higher than that in control group (60.3%), the difference was statistically significant (P <0.05). The total recurrence rate in observation group was significantly lower than that in control group, the difference was statistically significant (P <0.05). Conclusion Extracorporeal shock wave lithotripsy treatment with Chinese medicine Pai stone and intramuscular injection of progesterone treatment of renal stones significant effect.