坦索罗辛对肾结石(ESWL)术后辅助排石疗效分析.docVIP

坦索罗辛对肾结石(ESWL)术后辅助排石疗效分析 　　【摘要】目的探讨坦索罗辛对肾结石体外冲击波碎石(ESWL)术后排石疗效及分析。方法240例单纯肾结石患者行ESWL术后随机分为坦索罗辛及对照两组，均给予排石冲颗粒及氟罗沙星。坦索罗辛组120例，给予坦索罗辛(哈乐)，治疗时间4周，比较两组之间结石排净率、石街的形成、疼痛评分(VAS)、膀胱刺激症状。结果坦索罗辛组的结石排净率高于对照组；坦索罗辛组石街形成率)、疼痛VAS评分及膀胱刺激症状发生率均低于对照组。治疗期间两组未出现药物不良反应。结论ESWL术后坦索罗辛能够促进ESWL术后结石排出，预防石街形成，缓解疼痛及膀胱刺激症状，可以作为肾结石ESWL术后排石的辅助用药。 　　【关键词】肾结石；体外冲击波碎石；坦索罗辛 　　 　　Tamsulosin to the kidney stone in vitro shock?wave srushed stone techniqne back row stone curative effect and the analysis HU Yu?qiang.The Traditional Chinese Medical Hospital of Jiyang 251400,China 　　【Abstract】ObjectiveDiscusses Tamsulosin to the kidney stone in vitro shock?wave crushed stone (ESWL) technique back row stone curative effect and the analysis? Methodsafter 240 example pure kidney stone patient line of ESWL technique, divides into Tamsulosin stochastically and compares 2 groups, gives a row of stone to flush the pellet and fluorine Luo Shaxing? The Tamsulosin group 120 examples, give Tanzania (happily rope Rosin), the treatment time 4 weeks, compared with 2 group of between stone rows lead, Shi Jie the formation, the ache to grade (VAS), the urinary bladder stimulation symptom only? ResultsTamsulosin group?s stone row leads to be higher than the control group only; The Tamsulosin group stone street speed of formation), the ache VAS grading and the urinary bladder stimulation symptom formation rate is lower than the control group? The treatment period 2 groups have not presented the medicine untoward effect? After ConclusionESWL technique, after Tamsulosin can promote the ESWL technique, the stone discharges, the prevention stone street formation, the alleviation ache and the urinary bladder stimulation symptom, may take the kidney stone ESWL technique back row stone the auxiliary medication. 　　【Key words】Kidney stone;In vitro shock?wave crushed stone Tamsulosin 　　 　　作者单位：251400山东省济阳县中医院外科于2009年12月至2011??9月对我科单纯肾结石患者体外冲击波碎石术后应用坦索罗辛(哈乐)辅助排石的疗效分析，现报道如下。 　　1资料与方法 　　1?1入选病例240例患者，均经B超、腹部平片(KUB)及静脉尿路造影(IVU)确诊