复方金钱草颗粒结合西医治疗泌尿系结石患者的效果分析

李政北京市大兴区西红门医院外科，北京大兴　100162

复方金钱草颗粒结合西医治疗泌尿系结石患者的效果分析

李政
北京市大兴区西红门医院外科，北京大兴100162

目的研究复方金钱草颗粒结合西医治疗湿热蕴结型泌尿系结石的疗效。方法将2013年6月—2015年12月收住该院的100例患者随机分为实验组和对照组，每组50例。在常规治疗基础上，实验组每天给予复方金钱草颗粒，6 g/次，3次/d，温水冲服，2周为1个疗程；对照组给予枸橼酸氢钾颗粒3 g/次，3次/d，温水冲服，2周为1个疗程。观察两组患者治疗效果，服药前后尿电解质变化及不良反应。结果实验组患者总有效率86%明显高于对照组总有效率64%，差异有统计学意义（P＜0.05）。结论复方金钱草颗粒对利尿、排石、减轻肾积水、缓解尿路梗阻有明显疗效。

泌尿系结石；湿热蕴结型；复方金钱草颗粒

［Abstract］Objective This study aims to research the curative effect of using Fu Fang Jin Qian Cao Ke Li combined with modern medicine to cure the syndrome of accumulated dampness-heat of Urinary Calculi.Methods One hundred cases of patients which admitted to our hospital from June 2013 to December 2015 were randomly divided into experimental group and control group，in which there are 50 cases of patients.The patients of the experimental group took 6 gram of Fu Fang Jin QianCao KeLi three times a day，two weeks for a period of treatment while the patients of the control group took 3 gram of Potassium Sodium Hydrogen Citrate Granules three times a day，two weeks for a period of treatment，on the basis of conventional therapy.Then we observed the curative effect，adverse reactions and changes of urinary electrolyte before and after taking medicine of the patients from both of the groups.Results The total effective rate of the patients of experimental group（86%）is higher than the control group significantly（64%）.Conclusion This study shows that there are curative effects obviously of using FuFangJinQianCaoKeLi on diuresis，removing urinary calculus，anesis hydronephrosis and urinary tract obstruction.

［Key words］Urinary Calculi；Syndrome of accumulated dampness-heat；Compound desmodium Granule

泌尿系结石在我国人群中患病率1.45%～6.02%，发病率0.06%～0.14%，10年复发率约为15.6%［1］。泌尿系结石是目前临床上非常多见的泌尿系统疾病，可发生于尿道的任何部位，肾是结石形成的最主要部位，输尿管结石大部分也是在肾形成的，临床上以肾及输尿管结石为最多见。结石的主要成分是草酸盐，可以损伤尿道粘膜，造成尿路梗阻，患者表现为血尿、绞痛，若治疗不及时可继发感染，出现肾盂积水、出血、肾功能衰竭等。临床常见的治疗方法有手术治疗、保守治疗、中西医结合治疗。为进一步探讨复方金钱草颗粒结合西医治疗泌尿系结石的临床疗效，笔者选取2013年6月—2015年12月收住该院的100例泌尿系结石患者进行治疗观察，现报道如下。……