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目的:观察排石颗粒联合专项护理防治留置双J管患者结石形成的疗效及安全性。方法:选取在本院治疗的120例留置双J管患者作为研究对象,随机分入观察组和对照组各60例。对照组采用常规护理,观察组在对照组护理的基础上加用排石颗粒治疗联合专项护理干预。观察比较2组双J管结石、留置双J管相关并发症的发生情况和观察组服用排石颗粒的不良反应情况。结果:观察组双J管附壁结石发生率为3.45%,明显低于对照组的32.73%,差异有统计学意义(P<0.01)。观察组感染发生率为5.17%,明显低于对照组的30.91%,差异有统计学意义(P<0.01);2组膀胱输尿管反流、输尿管支架管综合征和其他并发症发生率比较,差异均无统计学意义(P>0.05)。观察组患者在治疗过程中未观察到明显的与排石颗粒相关的不良反应。结论:应用排石颗粒联合专项护理干预留置双J管患者,可以显著降低双J管附壁结石形成的发生率和泌尿系感染的发生率,同时无明显药物不良反应,是一种安全有效的防治方法。
Objective: To observe the efficacy and safety of Paishi Granule combined with special nursing in prevention and treatment of calculus in double J tube patients. Methods: A total of 120 patients with double J tube treated in our hospital were selected as study subjects and randomly divided into observation group (60 cases) and control group (60 cases). The control group with conventional care, the observation group in the control group based on the use of Pai Stone particles combined with special nursing intervention. The incidence of complications related to double J-tube stones and indwelling double-J tube in the two groups were observed and compared, and the adverse reactions in the observation group were compared. Results: The incidence of double J-tube in the observation group was 3.45%, which was significantly lower than that in the control group (32.73%), the difference was statistically significant (P <0.01). The incidence of infection in the observation group was 5.17%, which was significantly lower than that in the control group (30.91%, P <0.01). The incidences of vesicoureteral reflux, ureteral stent syndrome and other complications in the two groups were significantly different No statistical significance (P> 0.05). Patients in the observation group did not observe obvious side-effect-related adverse reactions during treatment. Conclusion: The combination of row of pellets and special nursing intervention in patients with double J tube can significantly reduce the incidence of double J JJC and the incidence of urinary tract infection, while no obvious adverse drug reactions, is a safe and effective Prevention methods.