加减三金排石汤在石淋微创手术后留置DJ管期间的临床应用
发布时间：2018-08-02 09:52
【摘要】：目的:探讨加减三金排石汤对留置D-J管期间患者相关并发症的效果及对D-J管附壁结石形成的影响。方法:选取92例石淋微创手术后常规留置DJ患者分为实验组46例,空白组46例,所有患者在术后尿路感染控制后,嘱患者适当多饮水,空白组未给予药物治疗,治疗组患者服用加减三金排石汤,日1副,早晚分服,连服3周。分别对两组受试患者在实验1周、2周、3周分别进行复查尿常规,检测尿中白细胞情况,调查三个时间段内人均出现肉眼血尿的次数和人均疼痛不适的次数及膀胱刺激征的情况,同时使用疼痛评估量表量化评估留置D-J管期间患者的疼痛情况。术后3周行膀胱镜下D-J管拔除术,拔除D-J管后对D-J管进行肉眼观察是否有明显结石形成、测量其结石量。将所得数据进行归纳总结并比较。结果:两组受试患者复查尿常规尿路感染复发情况差异具有统计学意义(P0.05);两组受试者在1周、2周、3周内人均疼痛不适次数、肉眼血尿次数以及膀胱刺激征情况差异具有统计学意义(P0.05);两组受试者在1周、2周、3周时疼痛评估量表得分差异具有统计学意义(P0.05);两组第3周实验结束时D-J管附壁结石重量具有统计学意义(P0.05)。治疗组在预防DJ管皮壳/结石形成、排石、抗炎、止痛、止血方面均优于对照组,具有预防D-J管管壁结石结石形成,控制及预防感染,缓解或消除疼痛不适及血尿问题。结论:石淋微创术后患者在留置D-J管期间服用加减三金排石汤不但能够有效控制留置D-J管期间的部分相关并发症,而且能够改善患者的生活质量,并预防管壁结石的形成。
[Abstract]:Objective: to investigate the effect of Sanjinpaishi decoction on complications of patients with D-J tube indwelling and the formation of D-J tube wall stone. Methods: 92 patients with conventional indwelling DJ were divided into experimental group (n = 46) and blank group (n = 46). The patients in the treatment group were treated with Sanjinpaishi decoction, 1 day, morning and evening, 3 weeks. The two groups of patients were examined urine routine during the first week, the second week and the third week, the white blood cells in the urine were detected, the frequency of naked hematuria, the times of pain and discomfort and the bladder irritation were investigated in three time periods. Pain assessment scales were also used to quantify the pain status of patients with D-J tube indwelling. D-J tube was removed under cystoscope 3 weeks after operation. After removing D-J tube, naked eye observation was carried out on D-J tube to observe whether there was obvious stone formation, and the amount of stone was measured. The data are summarized and compared. Results: there was significant difference in the recurrence of urinary tract infection between the two groups (P0.05). There were statistically significant differences in the number of hematuria and bladder irritation between the two groups (P0.05), the difference in pain assessment scale scores between the two groups at the end of 1 week and 2 weeks and 3 weeks (P0.05); D-J tube wall attachment at the end of the third week of the experiment in the two groups (P0.05). Stone weight was statistically significant (P0.05). The treatment group was superior to the control group in preventing DJ tube shell / stone formation, lithotomy, anti-inflammation, pain relief and hemostasis. The treatment group had the advantages of preventing D-J tube wall stone formation, controlling and preventing infection, alleviating or eliminating pain discomfort and hematuria problems. Conclusion: during the period of indwelling D-J tube, the patients treated with Sanjinpaishi decoction not only can effectively control some complications during the period of indwelling D-J tube, but also can improve the quality of life of patients and prevent the formation of wall stone.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R699
本文编号：2159054
[Abstract]:Objective: to investigate the effect of Sanjinpaishi decoction on complications of patients with D-J tube indwelling and the formation of D-J tube wall stone. Methods: 92 patients with conventional indwelling DJ were divided into experimental group (n = 46) and blank group (n = 46). The patients in the treatment group were treated with Sanjinpaishi decoction, 1 day, morning and evening, 3 weeks. The two groups of patients were examined urine routine during the first week, the second week and the third week, the white blood cells in the urine were detected, the frequency of naked hematuria, the times of pain and discomfort and the bladder irritation were investigated in three time periods. Pain assessment scales were also used to quantify the pain status of patients with D-J tube indwelling. D-J tube was removed under cystoscope 3 weeks after operation. After removing D-J tube, naked eye observation was carried out on D-J tube to observe whether there was obvious stone formation, and the amount of stone was measured. The data are summarized and compared. Results: there was significant difference in the recurrence of urinary tract infection between the two groups (P0.05). There were statistically significant differences in the number of hematuria and bladder irritation between the two groups (P0.05), the difference in pain assessment scale scores between the two groups at the end of 1 week and 2 weeks and 3 weeks (P0.05); D-J tube wall attachment at the end of the third week of the experiment in the two groups (P0.05). Stone weight was statistically significant (P0.05). The treatment group was superior to the control group in preventing DJ tube shell / stone formation, lithotomy, anti-inflammation, pain relief and hemostasis. The treatment group had the advantages of preventing D-J tube wall stone formation, controlling and preventing infection, alleviating or eliminating pain discomfort and hematuria problems. Conclusion: during the period of indwelling D-J tube, the patients treated with Sanjinpaishi decoction not only can effectively control some complications during the period of indwelling D-J tube, but also can improve the quality of life of patients and prevent the formation of wall stone.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R699
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