现代医药卫生2025，Vol.41Issue(4)：861-864,869,5.DOI:10.3969/j.issn.1009-5519.2025.04.009
基于中医体质辨识及结石成分分析对复发性尿结石干预的临床研究
Clinical study on intervention of recurrent urinary calculi based on traditional Chinese medicine constitution identification and stone composition analysis
摘要
Abstract
Objective To explore the influence of the intervention of recurrent urinary calculi based on traditional Chinese medicine(TCM)constitution identification and stone composition analysis,and to explore its action mechanism.Methods A total of 300 urolithiasis patients admitted to Zhongshan Traditional Chinese Medicine Hospital from January 2019 to January 2021 were randomly divided into observation group,control group and blank group by random number table method,with 100 cases in each group.The observation group was treated according to the diagnosis and treatment guidelines,TCM constitution and stone composition,the control group was treated according to the diagnosis and treatment guidelines and stone composition analysis,and the blank group was treated according to the diagnosis and treatment guidelines.The total effective rate of TCM syndromes improvement,TCM constitution score and stone recurrence rate were compared among the three groups after one year treatment.Results The total effective rate of TCM symptoms improvement was 94.0％(94/100)in the observation group,70.0％(70/100)in the control group and 45.0％(45/100)in the blank group,with statistical significant difference(P＜0.05).In terms of TCM dampness-heat constitution score,the constitution transformation score of the observation group decreased to(38.32±6.15)points,which was lower than(42.18±6.85)points of the control group and(61.15±9.98)points of the blank group.The to-tal symptom score of the observation group decreased to(4.25±2.37)points,which was lower than(6.34±2.09)points of the control group and(9.21±2.22)points of the blank group,and the difference was statistical-ly significant(P＜0.05).The 12-month stone recurrence rate was 3.0％in the observation group,11.0％in the control group and 21.0％in the blank group,and the difference was statistically significant(P＜0.05).Conclusion TCM constitution identification combined with stone composition analysis and diagnosis can ef-fectively improve the patients' syndrome,adjust the internal environment,and achieve the effect of reducing stone recurrence.关键词
中医体质辨识/结石成分分析/复发性尿结石Key words
Traditional Chinese medicine constitution identification/Stone composition analysis/Recurrent urinary calculi分类
医药卫生引用本文复制引用
黄新凯,赖海标,钟喨,黄智峰..基于中医体质辨识及结石成分分析对复发性尿结石干预的临床研究[J].现代医药卫生,2025,41(4):861-864,869,5.基金项目
广东省中山市科研项目(2022J046). （2022J046）
