热淋清联合强化护理干预对输尿管下段结石排石效果的影响
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摘要
目的探究热淋清联合强化护理干预对输尿管下段结石排石效果的影响。方法选取2017年12月—2018年12月收治输尿管下段结石的患者148例,按随机数字表法将其分为对照组和观察组,各74例。对照组进行常规治疗,观察组在对照组的基础上口服热淋清,连续治疗15 d,2组均采用强化护理干预。统计2组治疗后结石排净率;比较2组患者住院时间、排石时间、并发症发生率及中医证候积分;比较2组患者治疗前后血清炎性因子的水平。结果治疗后对照组结石排净率为86. 5%明显低于观察组的95. 9%(P <0. 05);观察组的排石和住院时间较对照组明显缩短(P <0. 05);对照组并发症发生率为39. 2%明显高于观察组的9. 5%(P <0. 05);观察组中医证候积分显著低于对照组(P <0. 05);且观察组的IL-4、IL-6、TNF-α、CRP水平显著低于对照组(P <0. 05)。结论热淋清联合强化护理干预改善输尿管下段结石患者临床症状,缩短排石及住院时间,降低并发症发生率及炎性因子水平的疗效显著,值得临床推广应用。
Objective Objective To explore the curative effect of Relinqing combined with intensive nursing intervention on lithotripsy of lower ureteral calculus. Methods 148 patients with lower ureteral calculi in our hospital from December 2017 to December 2018 were selected and divided into the control group( n = 74) and the observation group( n = 74) according to random number table method. The control group received routine treatment after operation,while the observation group received oral Relinqing for 15 days on the basis of the control group. Both groups received intensive nursing intervention. Stone clearance rate after treatment in 2 groups was counted. The hospitalization time,lithotripsy time,incidence of complications and scores of traditional Chinese medicine( TCM) symptoms were compared between the 2 groups. The levels of serum inflammatory factors were compared between the 2 groups after treatment. Results After treatment,the stone clearance rate of the control group was 86. 5% which was lower than 95. 9% of the observation group( P < 0. 05). The stone clearance and hospitalization time of the observation group were significantly shorter than that of the control group( P < 0. 05). The complication rate of the control group was 39. 2% which was higher than 9. 5% of the observation group( P < 0. 05). The syndrome score of the observation group was significantly lower than that of the control group( P < 0. 05),and the IL-4,IL-6,TNF-alpha,CRP water of the observation group was significantly lower than that of the control( P < 0. 05). Conclusion Relinqing and intensive nursing intervention can improve the clinical symptoms of lower ureteral calculi patients,shorten the time of lithotripsy and hospitalization,and the effect of reducing the incidence of complications and the level of inflammatory factors is remarkable. It is worthy of clinical application.
Objective Objective To explore the curative effect of Relinqing combined with intensive nursing intervention on lithotripsy of lower ureteral calculus. Methods 148 patients with lower ureteral calculi in our hospital from December 2017 to December 2018 were selected and divided into the control group( n = 74) and the observation group( n = 74) according to random number table method. The control group received routine treatment after operation,while the observation group received oral Relinqing for 15 days on the basis of the control group. Both groups received intensive nursing intervention. Stone clearance rate after treatment in 2 groups was counted. The hospitalization time,lithotripsy time,incidence of complications and scores of traditional Chinese medicine( TCM) symptoms were compared between the 2 groups. The levels of serum inflammatory factors were compared between the 2 groups after treatment. Results After treatment,the stone clearance rate of the control group was 86. 5% which was lower than 95. 9% of the observation group( P < 0. 05). The stone clearance and hospitalization time of the observation group were significantly shorter than that of the control group( P < 0. 05). The complication rate of the control group was 39. 2% which was higher than 9. 5% of the observation group( P < 0. 05). The syndrome score of the observation group was significantly lower than that of the control group( P < 0. 05),and the IL-4,IL-6,TNF-alpha,CRP water of the observation group was significantly lower than that of the control( P < 0. 05). Conclusion Relinqing and intensive nursing intervention can improve the clinical symptoms of lower ureteral calculi patients,shorten the time of lithotripsy and hospitalization,and the effect of reducing the incidence of complications and the level of inflammatory factors is remarkable. It is worthy of clinical application.
引文
[1]吴驹,邓玉霞,朱原兵.输尿管镜碎石术治疗肾和输尿管结石的并发症情况分析[J].世界最新医学信息文摘,2017,7(45):11-12.
[2]苏艳标.排石汤联合碎石术治疗输尿管下段结石分析[J].光明中医,2016,31(19):2865-2866.
[3]那彦群,叶章群,孙光,等.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2011:225-226.
[4]魏立,俞斌.热淋清颗粒对肾结石术后尿路感染的预防及促排石、止痛效果观察[J].中华中医药学刊,2017,35(3):766-768.
[5]白牧鑫,韩林露,杨蕾.中医辨证治疗复发性尿路感染气虚湿浊证[J].长春中医药大学学报,2017,33(5):765-767.
[6]韩东江.中药排石饮结合体外冲击波碎石术治疗输尿管结石的疗效观察[J].世界中医药,2017,12(9):2062-2064,2068.
[2]苏艳标.排石汤联合碎石术治疗输尿管下段结石分析[J].光明中医,2016,31(19):2865-2866.
[3]那彦群,叶章群,孙光,等.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2011:225-226.
[4]魏立,俞斌.热淋清颗粒对肾结石术后尿路感染的预防及促排石、止痛效果观察[J].中华中医药学刊,2017,35(3):766-768.
[5]白牧鑫,韩林露,杨蕾.中医辨证治疗复发性尿路感染气虚湿浊证[J].长春中医药大学学报,2017,33(5):765-767.
[6]韩东江.中药排石饮结合体外冲击波碎石术治疗输尿管结石的疗效观察[J].世界中医药,2017,12(9):2062-2064,2068.