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目的:探讨碎石宝煎剂对体外冲击波碎石(ESWL)后肾血流指数(RI)的影响。方法:随机选择肾及输尿管上段结石病人98例分为碎石宝煎剂组、络活喜组、排石颗粒组及常规处理组4组,在ESWL前、ESWL后24 h内、7 d及14 d测量肾叶间动脉血流阻力。结果:碎石宝煎剂组及络活喜组ESWL后24 h内、7 d及14 d患侧肾脏RI较ESWL前降低,其中碎石宝煎剂组降低显著(P<0.005);常规处理组及排石颗粒组ESWL后24 h内、7 d及14 d患侧肾脏RI升高。结论:碎石宝和络活喜可以阻止或减轻ESWL后RI升高。
Objective: To investigate the effect of rubesiphen decoction on renal blood flow index (RI) after extracorporeal shock wave lithotripsy (ESWL). Methods: A total of 98 patients with renal and upper ureteral calculi were randomly divided into four groups: rubescui decoction group, Luohuoxue group, Paishi granule group and conventional treatment group. Before ESWL, within 24 hours after ESWL, 14 d Measurement of renal interstitial flow resistance. Results: The RI of the kidneys of the Shibao Bao Decoction group and the Luohuoxue group was lower than that of the ESWL group on the 7th day and the 14th day after ESWL treatment, especially in the Shibaobao decoction group (P <0.005). The conventional treatment Within 24 h after ESWL, the RI of the affected side increased on the 7th and 14th day. Conclusion: Macadamia and loxodine can prevent or reduce RI after ESWL.