电针肾经膀胱经郄穴及相关募穴缓解肾绞痛的临床观察(英文)

Clinical observation of the efficacy on renal colic treated with electroacupuncture at the Xi-cleft points of kidney and bladder meridians as well as the relevant Front-mu points

目的:比较电针与肌肉注射强痛定缓解肾绞痛的疗效差异。方法:将51例肾绞痛患者随机分为电针组(26例)和药物组(25例),电针组针刺采用电针肾经膀胱经郄穴水泉、金门及相关募穴京门、中极;药物组于患侧臀部一次性肌注强痛定100 mg。治疗前后分别采用简化的McGill疼痛问卷(SF-MPQ)和视觉模拟评分法(VAS)进行疼痛评分,观察两组临床疗效和复发情况。结果:电针组愈显率为69.2%(18/26),优于药物组的44.0%(11/25)(P<0.05)。两组治疗后10 min、30 min、60 min、120 min,SF-MPQ评分和VAS评分均较治疗前明显降低(均P<0.05),电针组治疗10 min、30 min后以上评分较药物组下降更明显(均P<0.05)。电针组完全缓解时间[(131.19±152.12)min] 明显短于药物组[(184.29±84.04)min,P<0.05]。电针组在24 h内肾绞痛复发率为8.0%(2/25),略低于药物组的31.6%(6/19),经统计学处理,差异无统计学意义(P>0.05)。结论:电针肾经膀胱经郄穴及相关募穴与肌注强痛定均能有效缓解肾绞痛,但电针疗效更佳。

Objective To observe the efficacy difference of renal colic treated with electroacupuncture in comparison with intramuscular injection with Fortanodyn. Methods Fifty-one patients with renal colic were randomly divided into an electroacupuncture group （26 cases） and a medicine group （25 cases）. In the electroacupuncture group, electroacupuncture was applied to the Xi-cleft points of kidney and bladder meridians, named Shuǐquán （水泉 KI 5） and Jīnmén （金门 BL 63） as well as the relevant Front-mu points, Jīngmén （京门 GB 25） and Zhōngjí （中极 CV 3）. In the medicine group, intramuscular injection with Fortanodyn （100 mg） was administered. Once treatment was applied for immediate analgesia in each group. Before and after treatment, the Simplified McGill Pain Questionnaire （SF-MPQ） and the Visual Analogy Scale （VAS） were adopted for pain assessment respectively. The clinical efficacy and the recurrence of the disease were observed in the two groups. Results The clinically cured and remarkably effective rate was 69.2% （18/26） in the electroacupuncture group, which was superior to 44.0% （11/25） in the medicine group （P0.05）. Separately, in 10 min, 30 min, 60 min and 120 min after treatment, in either group, SF-MPQ and VAS scores were obviously reduced as compared with those before treatment （all P0.05）. The scores in 10 min and 30 min after treatment in the electroacupuncture group were reduced more remarkably as compared with those in the medicine group （both P0.05）. The complete remission time in the electroacupuncture group was shorter apparently than that in the medicine group [（131.19±152.12） min vs （184.29±84.04） min, P0.05]. The recurrence rate of renal colic in 24 h was 8.0% （2/25） in the electroacupuncture group, which was lower slightly than 31.6% （6/19） in the medicine group （P0.05）. Conclusion Renal colic can be effectively relieved in the treatment with either electroacupuncture at the Xi-cleft points and the Front-mu points of kidney and bladder meridians or intramuscular injection with Fortanodyn. But, the electroacupuncture therapy achieves much better efficacy.