CAJ | 학술논문

目的比较热淋清颗粒、排石颗粒对于输尿管结石体外冲击波碎石术ESWL后辅助排石的作用.方法 206例接受了ESWL的输尿管结石患者随机分为热淋清组、排石颗粒组和对照组,对照组未服用排石中药,热淋清组口服热淋清颗粒(4g,3次/d),排石颗粒组口服排石颗粒(5g,3次/d),然后观察1个月.结果热淋清组与排石颗粒组总的结石排净率分别为94.3％(66/70)、92.8％ (65/70),二者相比差异无统计学意义(P＞0.05),2组总的结石排净率均高于对照组的78.8％ (52/66),差异均有统计学意义(均P＜0.05).热淋清组的3d和7d结石排净率均高于排石颗粒组和对照组(P＜0.05).热淋清组肾绞痛的发生率为7.1％ (5/70),而排石颗粒组为18.6％(13/70),对照组为36.4％(24/66),3组比较差异均有统计学意义(均P＜0.05).结论热淋清颗粒和排石颗粒都能提高输尿管结石ESWL后的结石排净率,并且都可以减少肾绞痛的发生率.但在加快结石排出和缓解肾绞痛方面,热淋清颗粒的作用优于排石颗粒.
목적 비교열림청과립、배석과립대우수뇨관결석체외충격파쇄석술ESWL후보조배석적작용.방법 206례접수료ESWL적수뇨관결석환자수궤분위열림청조、배석과립조화대조조,대조조미복용배석중약,열림청조구복열림청과립(4g,3차/d),배석과립조구복배석과립(5g,3차/d),연후관찰1개월.결과 열림청조여배석과립조총적결석배정솔분별위94.3％(66/70)、92.8％ (65/70),이자상비차이무통계학의의(P＞0.05),2조총적결석배정솔균고우대조조적78.8％ (52/66),차이균유통계학의의(균P＜0.05).열림청조적3d화7d결석배정솔균고우배석과립조화대조조(P＜0.05).열림청조신교통적발생솔위7.1％ (5/70),이배석과립조위18.6％(13/70),대조조위36.4％(24/66),3조비교차이균유통계학의의(균P＜0.05).결론 열림청과립화배석과립도능제고수뇨관결석ESWL후적결석배정솔,병차도가이감소신교통적발생솔.단재가쾌결석배출화완해신교통방면,열림청과립적작용우우배석과립.
Objective To compare the efficacy of Relinqing granules and Paishi granules for enhancing expulsion of ureteral calculi after extracorporeal shock wave lithotripsy (ESWL).Methods 206 patients after ESWL were randomly divided into 3 groups.The patients in control group received no Chinese medicine.The patients in Relinqing group received Relinqing granules (4g,tid).The Patients in Paishi granules group received Paishi granules (5g,tid).All patients were observed for one month.Results The rate of calculi clearance in Relinqing group was 94.3％,that was not significamly different from the rate in Paishi granules group (P ＞ 0.05).But the clearance rate in these two groups was significantly higher than that in the control group (P ＜ 0.05).But,the clearance rate of 3 days and 7 days after ESWL in Relinqing group was was significantly higher than that in the Paishi group and the control group (P ＜ 0.05).The rate of renal colic recurred in Relinqing group was 7.1％,in Paishi granules group was 18.6％,in control group was 36.7％,with significant difference between the groups.Conclusion The Relinqing granules and the Paishi granules both can significantly improve the stone expulsion rate and decrease the rate of renal colic recurred after ESWL.In these efficiencies,the Relinqing granules are better than the Paishi granules.