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目的:探讨对于体外冲击波碎石术后采用排石冲剂促进排石的临床疗效。方法:采用回顾性研究方法,510例尿路结石患者按治疗方式分成观察组和对照组各255例。对照组采用体外冲击碎石术治疗,观察组在体外冲击碎石术后加用排石冲剂,比较两组结石排出率、临床疗效与药品不良反应。结果:观察组结石排出率为78.8%,明显高于对照组的51.0%(P<0.05);观察组痊愈率72.9%,总有效率92.5%,对照组痊愈率43.9%,总有效率82.4%,两组比较差异有统计学意义(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:体外冲击波碎石术后应用排石冲剂能促进结石排出,疗效高、不良反应少。
Objective: To investigate the clinical effect of using Paishi granules to promote stone discharge after extracorporeal shock wave lithotripsy. Methods: A retrospective study of 510 patients with urolithiasis was divided into observation group and control group according to the way of treatment. The control group was treated by extracorporeal shock lithotripsy. The observation group was treated with Paishi granule after the extracorporeal shock lithotripsy. The stone discharge rate, clinical curative effect and adverse drug reaction were compared between the two groups. Results: The rate of stone excretion in observation group was 78.8%, which was significantly higher than that in control group (51.0%, P <0.05). The cure rate in observation group was 72.9%, the total effective rate was 92.5%, the cure rate in control group was 43.9% and the total effective rate was 82.4% , The difference between the two groups was statistically significant (P <0.05). Two groups of patients with adverse reactions, the difference was not statistically significant (P> 0.05). Conclusion: Extracorporeal shock wave lithotripsy with Paishi granules can promote the discharge of stones with high efficacy and few adverse reactions.