CAJ | 학술논문

[目的]观察输尿管支架植入术后服用三金排石汤及坦索罗辛缓释片联合治疗输尿管下段结石的疗效。[方法]将200例确诊为输尿管下段结石患者按比例随机分成A、B、C、D4组。A组置入输尿管支架并服用三金排石汤和坦索罗辛缓释片；B组仅口服坦索罗辛缓释片；C组仅单纯置入输尿管支架；D组仅服用三金排石汤治疗。复诊时间3d为1周期，每次需复查、询问、记录泌尿素B超、泌尿系平片（KUB）、排石时间、绞痛与药物服用（包括药物副反应）情况、支架位置、是否出现导管相关综合症等不良情况。[结果]2周后A组、C组支架位置均良好，其中A组的结石排出率、排石时间均显著优于其余3组（P＜0.01）。A、C组患者镇痛剂使用量显著少于B、D组（P＜0.01）。A组患者导管相关综合症的发生数少于C组。[结论]置入输尿管支架并服用三金排石汤和坦索罗辛缓释片，可提高输尿管下段结石患者的排石率、缩短排石时间、减少痛发及镇痛剂使用量、减轻肾绞痛程度，疗效明确，且能减少导管相关综合症的发生。
[목적]관찰수뇨관지가식입술후복용삼금배석탕급탄색라신완석편연합치료수뇨관하단결석적료효。[방법]장200례학진위수뇨관하단결석환자안비례수궤분성A、B、C、D4조。A조치입수뇨관지가병복용삼금배석탕화탄색라신완석편；B조부구복탄색라신완석편；C조부단순치입수뇨관지가；D조부복용삼금배석탕치료。복진시간3d위1주기，매차수복사、순문、기록비뇨소B초、비뇨계평편（KUB）、배석시간、교통여약물복용（포괄약물부반응）정황、지가위치、시부출현도관상관종합증등불량정황。[결과]2주후A조、C조지가위치균량호，기중A조적결석배출솔、배석시간균현저우우기여3조（P＜0.01）。A、C조환자진통제사용량현저소우B、D조（P＜0.01）。A조환자도관상관종합증적발생수소우C조。[결론]치입수뇨관지가병복용삼금배석탕화탄색라신완석편，가제고수뇨관하단결석환자적배석솔、축단배석시간、감소통발급진통제사용량、감경신교통정도，료효명학，차능감소도관상관종합증적발생。
[Objective]To observe the cure effect of ureter stent implantation combined with Sanjin Paishi Decoction and Tamsulosin on distal ureteral cal-culus. [Method] Randomly divide 200 cases into 4 groups of A,B,C,D. Group A(combination treatment) took ureter stent implantation and Sanjin Paishi Decoction and Tamsulosin Tablets; group B, only Tamsulosin Sustained Release Tablets; group C, only ureter stent implantation; D, only Sanjin Paishi Decoction. The further consultation was 3d as a circle, recording urinary B ultrasound/KUB, removing calculus time, angina and medicine-staking condi-tion, as wel as stent positin or side effects of tube-relative syndrome and others.[Result] After 2 weeks, groups A and C had good stent position, the stone litheecbole rate and time of group A were better than other 3 groups;the analgesic application of group A was much less than groups B and D. The tube-relative syndrome of group A was less than group C.[Conclusion] Ureter stent implantation combined with Sanjin Paishi Decoction and Tamsulosin tablets can improve the calculus-removing rate of distal ureteral calculus, shorten calculus-removing time, reduce pain and analgesic dosage, relieve renal colic degree and reduce occurence of tube relative syndrome.