针药并用治疗输尿管结石疗效观察

Therapeutic Observation on Combining Acupuncture and Medication for Ureteral Calculus

目的观察针药并用治疗输尿管结石的疗效。方法将300例输尿管结石患者采用随机表法分成治疗组和对照组,每组150例。治疗组采用针刺加中药治疗,对照组采用中药加654-2及盐酸哌替啶肌肉注射。结果治疗组痊愈83例,痊愈率为55.3%;进针5 min内止痛者106例,止痛率为70.7%;10 d内排石者59例,占全部排石者的46.1%。而对照组痊愈率为32.7%,止痛率为47.3%,10 d排石率为22.5%。两组痊愈率、止痛率、10 d排石率比较差异具有统计学意义(P<0.01)。结论针刺配合中药治疗输尿管结石痊愈率、止痛率、10 d排石率优于中药加654-2及盐酸哌替啶治疗。

Objective To observe the therapeutic efficacy of combining acupuncture and medication in treating ureteral calculus. Method Three hundred patients with ureteral calculus were randomized into a treatment group and a control group, 150 in each. The treatment group was intervened by acupuncture plus Chinese medication, while the control group was by Chinese medication plus muscular injection of 654-2 and Pethidine. Result In the treatment group, 83 subjects were recovered, and the recovery rate was 55.3%; 106 patients had pain relief in 5 min after the insertion of needles, and the pain-relief rate was 70.7%; 59 patients had calculus removed in 10 d, and the rate was 46.1%. In the control group, the recovery rate was 32.7%, pain-relief rate was 47.3%, and calculus-removed rate in 10 d was 22.5%. There were significant differences in comparing the above three items between the two groups （P〈0.01）. Conclusion Acupuncture plus Chinese medication is better than Chinese medication plus 654-2 and P ethidine in comparing the recovery rate, pain-relief rate and calculus-removed rate in 10 d in treating urethral calculus.