经络拍打结合穴位按摩用于输尿管结石体外冲击波碎石后的排石疗效

Curative effect on meridian flap combined with point massage in the treatment of ureteral calculi after extracorporeal shock wave lithotripsy platoon stone

目的观察经络拍打结合穴位按摩促进输尿管结石体外冲击波碎石术（ESWL）后排石的疗效。方法收集2015年6~10月在浙江中医药大学附属第二医院泌尿外科住院治疗的输尿管结石患者120例,按随机数字表法将其分为两组。对照组60例患者ESWL后采用常规治疗、护理,观察组60例患者ESWL后在常规治疗、护理基础上加经络拍打结合穴位按摩,比较两组治疗后7、14 d的疼痛评分、总有效率及并发症发生率。结果治疗后7 d,观察组疼痛评分[（1.6±0.5）分]明显低于对照组[（3.7±0.4）分],差异有统计学意义（P〈0.05）;治疗后14 d,观察组疼痛评分[（0.9±0.6）分]显著低于对照组[（2.4±0.3）分],差异有统计学意义（P〈0.01）,总有效率（95.0%）明显高于对照组（83.3%）,差异有统计学意义（P〈0.05）。观察组术后并发症发生率为6.67%,显著低于对照组的20.00%,差异有统计学意义（χ^2=4.61,P〈0.05）。结论经络拍打结合穴位按摩能有效促进输尿管结石ESWL后的排石。

Objective To observe the effect of extracorporeal shock wave lithotripsy（ESWL） treatment for ureteral calculi in patients with the combination of the channels and collaterals pat and point massage. Methods From June to October 2015,120 cases of patients with ureteral calculi in Department of Urology, the Second Hospital Affiliated to Zhejiang Chinese Medical University were divided into two groups according to random number table method. 60 patients were treated with the combination of the channels and collaterals pat and point massage based on usual care as an observation group, while another 60 patients were treated with usual care as a control group. After treatment, the pain scores of 7 d and 14 d, total effective rate and incidence of complications between the two groups were compared. Results After treatment for 7 d, the observation group pain score [（1.6±0.5） points] was significantly lower than（3.7±0.4）points in the control group, the difference was statistically significant（P〈0.05）. After treatment for 14 d, the observation group pain score [（0.9±0.6） points] was significantly lower than（2.4±0.3） points in the control group, the difference was statistically significant（P〈0.01）, and the total effective rate（95.0%） was significantly higher than that of the control group（83.3%）, the difference was statistically significant（P〈0.05）. The incidence of postoperative complications of observation group was 6.67%, significantly lower than 20.00% of the control group, the difference was statistically significant（χ2= 4.61, P〈0.05）. Conclusion The combination of the channels and collaterals pat and point massage is an effective approach for patients with ESWL treatment for ureteral calculi.