“动留针术”治疗急性肾绞痛的临床观察

Clinical Study on Moving Needle Retention on Acute Renal Colic

目的观察"动留针术"治疗急性肾绞痛的临床疗效。方法对60例肾绞痛患者随机分为治疗组和对照组,治疗组根据全国名老中医王毅刚"动留针术"经验选穴,取患侧腰夹脊穴和阿是穴;对照组采用臀部肌肉注射双氯芬酸钠利多卡因注射液。观察两组患者在治疗后5 min、30 min、1 h、6 h、12 h的视觉模拟量表(VAS)疼痛评分。结果在疼痛评分方面:两组治疗后各时间点较治疗前疼痛评分显著降低,差异均有统计学意义(P<0.05),说明两种方法均有效;在治疗后5 min、30 min及1 h,治疗组较对照组疼痛评分显著降低,差异均有统计学意义(P<0.05),说明治疗组见效更快;治疗组在治疗后12 h较6 h疼痛评分升高但差异无统计学意义(P>0.05);对照组在治疗后12 h较6 h疼痛评分显著升高(P<0.05),说明治疗组疗效更持久。治疗组总有效率93.33%,再发率13.33%,对照组总有效率56.67%,再发率26.67%,两组总有效率、再发率差异有统计学意义(P<0.05)。结论"动留针术"治疗急性肾绞痛见效快、作用持久、再发率低,未见明显不良反应。

Objective:To explore the clinical effect of moving needle retention on acute renal colic.Methods:60 patients were randomly divided into the treatment group and the control group.The treatment group selected acupoints according to the experience of"moving and retaining needles"of the veteran Chinese medicine teacher Wang Yigang.Acupoints at Jiaji and Ashi on the affected side were selected.The control group received intra muscular injection of diclofenac sodium and lidocaine.The VAS pain scores of the two groups at 5 min,30 min,1 h,6 h and 12 h after treatment were observed.Results:1)(1)In terms of pain score,the pain score of the two groups at each time point after treatment was significantly lower than that before treatment,with statistical significance(P<0.05),indicating that both methods were effective.(2)5 minutes,30 minutes and 1 hour after treatment,the pain score of the treatment group was significantly lower than that of the control group(P<0.05),indicating that the effect of the treatment group was faster.(3)The pain score of the treatment group was higher than that of the 6 hours after treatment,but there was no statistical significance(P>0.05);the pain score of the control group was significantly higher than that of the 6 hours after treatment,with statistical significance(P<0.05),indicating that the therapeutic effect of the treatment group was more lasting.2)In the comparison of clinical efficacy,the total effective rate of the treatment group was 93.33%,the recurrence rate 13.33%;the total effective rate of the control group was 56.67%,the recurrence rate 26.67%.The total effective rate and recurrence rate of the two groups had statistical significance through Chi-square test(P<0.05),indicating that the treatment group had better curative effect than the control group.Conclusion:Moving needle retention therapy has a quick effect on acute renal colic,with lasting effect,low recurrence rate and no obvious adverse reactions.