Through Relieving Method In Treatment Of Calculus Of Renal Colic And Clinical Research And Clinical Observation

ObjectiiveThrough the evaluation on relieving method in treatment of stone of the clinical curative effect of renal colic. Clear through relieving method of calculous eduction, prevent the influence of compound etc.Methods(1) to collect the first affiliated hospital of guangzhou university of TCM male urology outpatient and the inpatient and the emergency department from August2013to February2014diagnosed with urinary calculi sex, a total of54patients with renal colic (included in the standard).54patients according to the digital random table method were randomly divided into three groups (group A, B, C), groups of18people..(2) Of three groups of patients age, gender, pain onset time (course), pain severity (or heavy) and diameter, stones and so on carries on the statistical test (P>0.05, no significant difference, comparable.(3) Group and the treatment:the experiment was divided into two stages, the first stage for collecting medical history. Mainly to collect one week before the onset of renal colic patients defecate situation and the onset of move bowels, presence of constipation. The second phase of treatment phase, divided into two aspects, analgesia and subsequent row of stone, Analgesic treatment of three groups were given solution by analgesic standard western medicine treatment, solution for:tramadol injection (100mg im),0.9%sodium chloride injection250ml+flurbiprofen50mg of VD, scopolamine injection of0.9%sodium chloride injection100ml+mountain10mg of VD or progesterone injection10mg im (qd-bid), for pain relief into the stone stage, namely for general relieving groups:group A flux tube row stone mixture (YiFuYuan hospital of guangzhou university of TCM preparations, by plantain, money, gold sand, sea grass, herba pyrrosiae, rhubarb, acid-insoluble ash, has been through leaching, relieving row of stones work)30ml bid+Urine Shi Tong pill bid1pack. Group B give urine Shi Tong pills alone1package bid.(the money grass, sea and gold sand, poria cocos, semen plantaginis, abutilon, armand clematis, towel gourd, chicken’s gizzard-membrane, radix cyathulae, etc, have been used, drench platoon stone effect, produced by the dongguan Asia pharmaceutical co., LTD., Z100086) approved by the state. For natural stone group, group C for pain relief after treatment, not for drug therapy, and give life coaching, as described below. In the subsequent rows of stone in the treatment without recurrence of renal colic, three groups are not given spasmolysis acetanilide western medicine treatment, such as merging in the process of treatment of urinary tract infection symptoms (bladder irritation), antibiotics are given specification, in the event of illness, the suspension test, to switch to other methods. In the subsequent rows of stone therapy were performed in life coaching:water more told three groups of patients (1500-3000-ml daily water consumption), avoid spicy stimulation diet, outage can influence stone curative effect of drugs, according to the actual circumstance of patients have moderate sports (running, jumping, jumping rope, etc.).2weeks for the observation period, the weekly told the patient returned to the court review of urinary colour to exceed and urinary tract (KUB) plain radiographs, and record the patients after taking the drugs for recurrent cases, renal colic, stool, with or without discharge, stones have a specific discharge time, without adverse reaction, etc. Statistical analysis of results.Results(1) in the collection history stage, found that most in a week before the onset of renal colic patients and constipation at onset of symptoms. At the completion of the54cases of patients,44patients had different degrees of move bowels impassability, accounted for81.4%, moderate pain of24cases,16cases of move bowels impassability,30cases of severe pain, move bowels impassability28cases, through correlation analysis, think that constipation related to renal colic, related to the degree of pain.(2) in the subsequent rows of stone stage, the group A cure14cases (77.8%),2cases (11.1%), invalid in2cases (11.1%). Group B cured7cases (38.9%), improvement in8cases(44.4%), invalid in3patients (16.7%). Group C heal in5cases (27.8%), improvement in3cases (16.7%). Invalid10cases (55.6%). After statistics analysis, the cure rate of group A is better than that of group B and group C, statistically significant, P<0.05).Total effective rate, no statistical difference between group A and group B, group A is better than that of group C was statistically significant.(3) row of stones:A group of14cases of the discharge stone, stone rate77.8%(14/18);7cases of group B, stone rate38.9%(7/18); Group C in5cases, stone rate was27.8%(5/18).Calculi discharge time is:group A row of stone was5.98±1.32days on average, group B row stone was9.56±1.39days on average, group C row stone was11.21±2.36days on average. After statistics analysis, A set of rows of stone rate is better than that of group B and group C, group A average row stone was shorter than group B and group C, statistically significant, P<0.05).(4) in renal colic recurred comparison:group A recurrence in2cases (2/18),11.1%respectively;Group B recurrence6cases (6/18),33.3%respectively;Group C recurrence,12cases (12/18),66.7%respectively. Renal colic the recurrence rate was lower than that in group B, group A and group C, with statistical significance, P<0.05).(5) reactions:one patient appear repeatedly in the process of pain, nausea, vomiting, give out the spirit anti-nausea vomit after treatment can alleviate, group C with another patient in the process of pain, there abdominal distention, mild abdominal pain, tenderness and bounce are painful, eliminate acute abdomen, patients move bowels, is solved to give open plug after the anus, defecation after abdominal distension. One group A patients taking pour diarrhea after row of stone mixture,4times/day, as A mirror, no abdominal pain and bloody stool. Adjust the dosage to15ml bid, diarrhea disappeared. The rest of the patients without obvious adverse reactions.Conclusion(1) stool stem node or constipation may be a cause of renal colic, and increase the degree of renal colic pain. Need further clinical research.(2) through relieving method can promote calculous eduction, shorten calculi discharge time, effectively prevent the recurrence of pain, worthy of clinical application.