CAJ | 학술논문

目的：研究分析中西医结合治疗糖尿病合并肾结石的临床效果。方法择取该院2014年7月—2015年7月期间进行诊治的82例糖尿病合并肾结石患者，运用随机抽签法进行平均分组，一组41例患者采取经皮肾镜碎石术进行单纯西医治疗设为对照组；一组41例患者采取经皮肾镜碎石术结合知柏地黄汤进行中西医结合治疗设为研究组。结果研究组患者的总有效率约为92.68%（38/41）远远高于对照组的73.17%（30/41），差异有统计学意义（P<0.05）。研究组患者的空腹血糖（FBG）、餐后2 h血糖（2 h PG）、24 h尿蛋白（24 h PR）、白蛋白（ALB）的水平明显优于对照组，差异有统计学意义（P<0.05）。结论中西医结合治疗糖尿病合并肾结石的临床疗效甚佳，可有效调节血糖水平及生化指标，降低并发症的发生，具有良好的应用价值及推广前景。
목적：연구분석중서의결합치료당뇨병합병신결석적림상효과。방법택취해원2014년7월—2015년7월기간진행진치적82례당뇨병합병신결석환자，운용수궤추첨법진행평균분조，일조41례환자채취경피신경쇄석술진행단순서의치료설위대조조；일조41례환자채취경피신경쇄석술결합지백지황탕진행중서의결합치료설위연구조。결과연구조환자적총유효솔약위92.68%（38/41）원원고우대조조적73.17%（30/41），차이유통계학의의（P<0.05）。연구조환자적공복혈당（FBG）、찬후2 h혈당（2 h PG）、24 h뇨단백（24 h PR）、백단백（ALB）적수평명현우우대조조，차이유통계학의의（P<0.05）。결론중서의결합치료당뇨병합병신결석적림상료효심가，가유효조절혈당수평급생화지표，강저병발증적발생，구유량호적응용개치급추엄전경。
Objective To study and analyze the clinical effect of integrated traditional Chinese and western medicine thera-py on diabetes and kidney stones. Methods Eighty-two patients with diabetes and kidney stones diagnosed and treated in our hospital from July 2014 to July 2015 were selected and equally divided into the control group and the study group in accordance with the random drawing method with 41 cases in each. Patients in the control group were treated by western medicine, percutaneous nephrolithotomy, and those in the study group were treated by integrated traditional Chinese and Western medicine therapy, percutaneous nephrolithotomy and Zhibai Dihuang Decoction. Results The overall response rate was much higher in the study group than that in the control group [92.68% (38/41) vs 73.17% (30/41)], the difference be-tween the two groups was statistically significant(P<0.05). The levels of fasting blood glucose(FBG), 2h postprandial blood glucose(2hPG), 24 h urine protein(24h PR) and albumin(ALB) in the study group were much better than those in the control group with statistically significant difference (P<0.05). Conclusion For diabetes and kidney stones, integrated traditional Chinese and western medicine therapy has good clinical effect, which can effectively regulate the levels of blood glucose and biochemical indicators and reduce the incidence of complications with good application value and promotion prospects.