妊娠期肾绞痛中西医干预生活质量研究

Study on the quality of life of pregnant women with renal colic after intervention of traditional Chinese medicine and western medicine

目的 观察妊娠期肾绞痛患者中西医干预后的临床疗效及对生活质量的影响。方法 随机选择妊娠期肾绞痛患者98例,分为治疗组和对照组,48例为对照组,给予黄体酮注射液40 mg肌肉注射1次/d×5 d,若20-30 min后疼痛不能缓解,可给予硫酸阿托品注射液0.5 mg联合盐酸哌替啶注射液50 mg肌肉注射,护理常规临证施护。治疗组50例在对照组治疗基础上给予梅花针循经叩打,统计疼痛缓解及全身伴随症状改善情况。使用汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD17）及生活质量量表,分析治疗前后患者的生活质量、情绪变化,对治疗组的临床效果及生活质量进行客观评价。结果 总有效率治疗组为98.0%,对照组为75.0%,两组总有效率差异有统计学意义。全身伴随症状治疗组较对照组有明显改善,治疗组患者治疗后抑郁情绪改善,生活质量明显提高。结论 中西医综合干预能提高妊娠期肾绞痛患者临床疗效,改善生活质量,值得推广。

Objective To observe the clinical effect of traditional Chinese medicine combined with western medicine in treatment of patients with renal colic during pregnancy and the impact on the quality of life. Methods Ninety-eight patients with renal colic during pregnancy were randomly selected and divided into treatment group and control group, 48 patients in control group were treated by intramuscular injection of progesterone （40 mg）, once a day for five days, if pain couldn＇t be relieved after 20-30 minutes, the patients were treated by intramuscular injection of atropine sulfate （0. 5 mg） and meperidine hydrochloride （50 mg）, then the patients were given routine nursing; 50 patients in treatment group were treated by acupuncture based on the therapies used in control group. Pain remission and improvement of associated symptoms were analyzed statistically. From the point of view of psychology, Hamilton Anxiety Scale （ HAMA）, Hamilton Depression Rating Scale （ HAMD17 ）, and Quality of Life Scale were used to analyze the changes of quality of life and emotion before and after treatment; the clinical effect and quality of life in treatment group were evaluated objectively. Results The total effective rates in treatment group and control group were 98% and 75% , respectively, there was statistically significant difference between the two groups. The associated symptoms in treatment group were improved significantly compared with control group, depression in treatment group was improved after treatment, the quality of life was improved significantly. Conclusion Traditional Chinese medicine combined with western medicine can improve the clinical curative effect and quality of life of patients with renal colic during pregnancy, which is worthy of promotion.