中西医结合治疗尿结石肾绞痛134例

Effectiveness Observation on Treatment of Renal Colic with Integrated Medicine in 134 Cases

目 的 探讨中枢抑制与穴位刺激、体外冲击波碎石并用,配合口服中药对尿石症肾绞痛的临床疗效。方法 采用肌注度冷丁、非那根与足三里穴位注射维生素K3相结合,再配合口服固本排石冲剂,必要时行体外冲击波碎石,治疗尿石症肾绞痛134例,与常规治疗随机对照观察。结果 与对照组比较,中西医结合组显效率高(P<0.01),起效及显效时间快(P<0.01),不良反应发生率低(P<0.01)差别有非常显著意义。结论 中枢镇痛与穴位给药,并配合口服排石中药,必要时行急诊碎石治疗肾绞痛,止痛显效快,不良反应少,从而达到迅速缓冲疼痛,促进结石排出,解除梗阻的目的。

Objective To explore the therapeutic effects of central inhibition acupoint stimu-lation therapy, with osal Chinese herbs for renal colic from urolithiasis. Methods 134patients withrenal colic from urolithiasis were treated by intramuscular injection of Dolantin and injection ofvitamin k3 into acupoint ST3b,with oral administration of TongLin PaiShi mixture (TLPSM),and routinetreatment was made as randomized control-observation. Results Comparing the effects with the controlgroup, the integrated traditional Chinese and western group had a higher rate of markedly effectivenessor adverse reaction (P<0.01),with significant differences. Conclusion Treating renal colic fromurolithiasis by integration of differential diagnosis by modern medicine with differentiation ofsyndromes by tradition Chinese medicine, together with central inhibition and acupoint stimulation andoral administration of Chinese herbs has a good analgesic effect with few adverse reactions and wouldbe of help in expelling stones by the organism per se.