Analysis Of Related Factors Of Kidney Stones After Renal Calculiand Study On Clinical Efficacy Of Integrated Traditional Chinese And Western Medicine

Objective1.To explore the related factors of residual stones after surgical treatment in patients with kidney stones.2.To observe the clinical effect of integrated traditional Chinese and Western Medicine on residual calculi after nephrolithotomy.MethodsPart ?:A total of 220 cases of renal calculi hospitalized in the Department of Urology,the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from January 1,2015 to December 31,2017 were collected and retrospectively studied.After the residual stones,the collected cases were divided into two groups,including the residual group of stones(40 cases)and the residual group without stones(180 cases).The preoperative,intraoperative and postoperative information of the patients was collected and statistically analyzed by SPSS 24.0 software.Single factors were analyzed using chi-square test,rank sum test,or T test;multiple factors were analyzed using binary logistic regression and their correlations were studied.Part ?:A total of 88 cases were collected from the Department of Urology,First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from January 1,2018 to December 31,2018,and were included in the observation group and the control group.44 cases.Observation group:Xiaoyu fossil mixture?Tamsulosin Hydrochloride Sustained-release Tablets;control group:Tamsulosin Hydrochloride Sustained-release Tablets.The residual stone removal,discharge time and drainage time after treatment,renal colic,and overactive bladder(OAB)score were recorded.Statistical analysis of all case data was performed by SPSS 24.0 software,and the mean±standard deviation(x±s)was obtained.At the same time,the measurement data were analyzed by t test,the count data was analyzed by ?2 test,and the results were analyzed.final conclusion.Results1.According to the results of single factor analysis,it can be known that the type of stone,stone position,maximum diameter of stone,preoperative infection,TCM syndrome,surgical procedure,duration of operation and other factors were statistically significant(P<0.05);2.According to the results of multivariate binary logistic regression analysis,it can be known that the TCM syndrome type,stone type,surgical method and other factors have statistical significance(P<0.05);3.Compared with the control group,the observation group had a stone clearance rate(97.7%)and a stone discharge time(5.57+1.56)days,which was better than the control group' s stone removal rate of 84.1%and stone discharge time(12.86±2.09)days.The incidence of renal colic(27.3%)and OAB score(5.07±2.11)in the observation group were significantly lower than those in the control g;roup(27.3%)and OABSS scores(11.18±2.72).The difference in data between groups was statistically significant.Conclusion1.The type of stone,the location of the stone,the maximum diameter of the stone,the preoperative infection,the TCM syndrome type,the surgical procedure,and the duration of the operation were the relevant factors of postoperative residual stones;and the TCM syndrome type,stone type,and surgical procedure were significantly correlated.2.The treatment effect of Xiaoyu Fossil Mixture+Tamsulosin Hydrochloride Sustained-release Tabletson postoperative residual stones is better than that of Harbin alone.