腹针配合中药治疗输尿管结石疗效观察

Therapeutic Observation of Abdominal Acupuncture plus Chinese Medication for Ureteral Calculus

目的观察腹针配合中药治疗输尿管结石的临床疗效。方法将106例输尿管结石患者随机分为腹针组(53例)、药物组(53例),腹针组在药物治疗的同时应用腹针疗法,主穴取水分、下脘、建里、中极、关元、气海。观察两组结石排出及疼痛缓解情况,并比较两组治疗效果。结果两组治疗均可有效改善疼痛和促进结石排出,两组治疗前后VAS评分比较差异具有统计学意义(P<0.05),两组间比较,腹针组疼痛缓解和消失的时间明显缩短,差异有统计学意义(P<0.01),腹针组总有效率为88.7%(47/53),优于药物组的73.6%(39/53)(P<0.05)。结论应用腹针配合中药治疗输尿管结石,能有效缓解疼痛和促进结石排出,减轻患者的痛苦。

Objective To observe the clinical efficacy of abdominal acupuncture plus Chinese medication in treating ureteral calculus. Method A total of 106 patients with ureteral calculus were randomized into an abdominal acupuncture group（53 cases） and a medication group（53 cases）. The abdominal acupuncture group was intervened by abdominal acupuncture plus medication, with Shuifen（CV9）, Xiawan（CV10）, Jianli（CV11）, Zhongji（CV3）, Guanyuan（CV4） and Qihai（CV6） selected as the major points. The removal of stones and the release of pain were observed in the two groups, and the efficacies were compared between the two groups. Result The two treatment methods both effectively improved the pain and promoted the removal of stones; the Visual Analogue Scale（VAS） scores were significantly changed after the intervention in both groups（P〈0.05）. The time taken to mitigate and release pain was significantly shorter in the abdominal acupuncture group compared to the other group（P〈0.01）. The total effective rate was 88.7%（47/53） in the abdominal acupuncture group, superior to 73.6%（39/53） in the medication group（P〈0.05）. Conclusion Abdominal acupuncture plus medication can effectively mitigate pain, promote the removal of stones and reduce patient＇s sufferings in treating ureteral calculus.