Abstract: Objective To investigate the effects of no- spa and Shubitong capsules for thetreatment of patients with upper ureteral stones after extracorporeal shock wave lithotripsy （ESWL）. Methods A total of 80 patients with stones with the upper ureter were divided into two groups（40 cases in each group）. The patients of observation group were received the management of combined no- spa with Shubitong capsules after ESWL，and the control group underwent ESWL alone without medication. All patients were observe for 14 days. Results In the observation group，the stone removal rate was higher than the control group，the incidence of renal colic pain and the utilization rate of analgesics were lower than those in the control group，and the difference was statistically significance Conclusion The effect of the combined application of no-spa and Shubitong capsules was safe and well after the ESWL of the upper ureteral calculi.

Key words: ureteral stone, no-spa, ESWL, Shubitong capsule

摘要： 目的 观察联合运用诺仕帕片和舒泌通胶囊治疗输尿管上段结石体外冲击波碎石（ESWL）是否能够减少肾绞痛的发作，促进结石排出。方法 将80例接受ESWL的输尿管上段结石患者分为两组，观察组与对照组，术后给观察组予诺仕帕片+舒泌通胶囊口服，对照组仅行体外冲击波碎石（ESWL）治疗，观察两组排石效果，肾绞痛发作频率。结果 观察组结石清除率高于对照组（P<0.05）；肾绞痛发生以及止痛剂使用率均低于对照组（P<0.05）。结论 输尿管上段结石体ESWL后联合运用诺仕帕片和舒泌通胶囊治疗效果良好，减少了肾绞痛发作。

关键词: 输尿管结石, 体外冲击波碎石, 诺仕帕片, 舒泌通胶囊