摘要
目的观察腕踝针治疗输尿管结石引起的肾绞痛的疗效。方法选取2018年5月-2019年8月武汉市中医医院急诊外科收治的输尿管结石引起的肾绞痛患者56例,随机分为腕踝针治疗组与常规西医治疗组各28例。常规西医治疗组:给予双氯芬酸钠栓一枚(50 mg)纳肛,出现严重疼痛的患者给予曲马多注射液一支(100 mg)肌肉注射镇痛,并配合盐酸消旋山莨菪碱注射液(654-2)10 mg静脉输液治疗;腕踝针治疗组:选取下2、下5的方位腕踝针进针镇痛治疗,留针时间为1.5 h。比较2组病人的肾绞痛的疼痛缓解程度及其临床疗效;两组病人都予以疼痛视觉模拟量表(VAS)进行评分,对2组患者治疗后5、10、15、30、45、60 min的疼痛缓解程度评估。结果2组患者肾绞痛治疗后5 min的VAS评分比较,差异无统计学意义(P>0.05);治疗后10 min腕踝针治疗组的VAS评分低于常规西医治疗组(P<0.05);治疗后15、30、45、60 min无明显统计学差异(P>0.05);腕踝针治疗组的肾绞痛疼痛缓解及消失时间明显短于常规西医治疗组,差异具有统计学意义(P<0.01);腕踝针治疗组的总有效率为85.7%(24/28),较常规西医治疗组的75.0%(21/28)(P<0.05)疗效更具优势。结论腕踝针治疗输尿管结石性肾绞痛疗效明显,值得临床借鉴。
Objective To observe the effect caused by ureteral calculi of renal colic with wrist-ankle acupuncture.Methods A total of 56 patients with renal colic caused by ureteral calculi admitted to the hospital of Wuhan Chinese Medicine Hospital from May 2018 to August 2019 were randomly divided into the wrist-ankle acupuncture group and the conventional western medicine group.Conventional Western medicine treatment group:Diclofenac sodium suppository(50mg)anal,patients with severe pain were given intramuscular analgesia with Tramadol injection(100mg),and combined with racemic anisodamine injection(654-2)10mg intravenous infusion treatment;Wrist-ankle acupuncture treatment group:The acupuncture ankle analgesia treatment of the lower 2 and lower 5 points was selected,and the needle retention time was 1.5 hours.The pain relief and clinical efficacy of renal colic were compared between the two groups.The pain visual analogue scale(VAS)was scored in both groups.The patients in the two groups were estimated for 5 min,10 min,15 min,30 min after treatment.Assessment of pain relief at 45 min and 60 min.Results There was no greatly difference in VAS scores between the two groups after 5 minutes of renal colic treatment(P>0.05).The VAS score of the wrist-ankle acupuncture group was lower than that of the conventional Western medicine group in 10 min after treatment (P<0.05);There was no remarkable difference in VAS scores between the two groups at 15 min,30 min,45 min,and 60 min after treatment(P>0.05);For renal colic in the wrist-ankle acupuncture group,the pain relief and disappearance time was significantly shorter than the conventional Western medicine treatment group.The difference was statistically significant(P<0.01);the total effective rate of the wrist-ankle acupuncture treatment group was 85.7%(24/28),75.0%compared with the conventional Western medicine treatment group.(21/28)(P<0.05).The effect was more advantageous.Conclusion The effect of wrist and ankle acupuncture on ureteral calculi is definite.It is worth popularizing in clinic practice.
作者
章莉
杜蕾
吴娟娟
靳晶
ZHANG Li;DU Lei;WU Juanjuan;JIN Jing(Emergency department,Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430034,Hubei,China;Department of acupuncture and moxibustion,Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430034,Hubei,China)
出处
《云南中医学院学报》
2019年第5期51-54,共4页
Journal of Yunnan University of Traditional Chinese Medicine
基金
武汉市卫生健康委员会科研项目(WZ19C12)
湖北省卫生与健康委员会2016-2017年度中医药、中西医结合科研项目(鄂卫生计生委通【2017】20号-64)。
关键词
腕踝针
输尿管结石
肾绞痛
疗效观察
wrist-ankle acupuncture
ureteral calculi
renal colic
therapeutic effect
