浮针疗法和邱氏穴按压疗法治疗肾绞痛的疗效观察

Efficacy Observation of Superficial Needling Therapy and Qiu’s Points Acupressure Therapy for Renal Colic

目的观察浮针疗法和邱氏穴按压疗法治疗肾绞痛的临床疗效并与药物治疗进行疗效比较。方法将纳入的90例急性肾绞痛患者随机分为浮针组、邱氏穴组和药物组,每组30例。浮针组采用腰背部压痛点浮针针刺治疗,邱氏穴组采用邱氏穴按压止痛治疗,药物组予盐酸消旋山莨菪碱注射液肌肉注射治疗。比较3组止痛起效时间、疼痛视觉模拟量表(VAS)评分、临床疗效和不良反应发生情况。结果浮针组总有效率为96.7%,邱氏穴组为93.3%,药物组为66.7%,浮针组与邱氏穴组比较差异无统计学意义(P>0.05),浮针组、邱氏穴组分别与药物组比较差异均有统计学意义(P<0.05)。邱氏穴组止痛起效时间短于浮针组和药物组,差异有统计学意义(P<0.01)。3组治疗前VAS评分比较差异无统计学意义(P>0.05);浮针组和邱氏穴组治疗后VAS评分均优于药物组,差异有统计学意义(P<0.01),而浮针组和邱氏穴组治疗后VAS评分比较差异无统计学意义(P>0.05)。邱氏穴组不良反应发生率低于浮针组和药物组。结论浮针疗法及邱氏穴按压疗法治疗肾绞痛的临床疗效相当,且均优于药物治疗;邱氏穴按压疗法的止痛起效快,且未有不良反应。

Objective To observe the clinical efficacy of superficial needling therapy and Qiu’s points acupressure therapy in treating renal colic and compare them with medication treatment.Method Ninety patients with acute renal colic were recruited and randomized into a superficial needling group,a Qiu’s points group and a medication group,with 30 cases in each group.The superficial needling group was treated with superficial needling at the tender points on the back;the Qiu’s points group was intervened by acupressure at Qiu’s points group to cease pain;the medication group was given intramuscular injection of Raceanisodamine hydrochloride injection.The onset time of pain relief,visual analogue scale(VAS)score for pain,clinical efficacy and adverse reactions were compared among the three groups.Result The total effective rate was 96.7%in the superficial needling group,versus 93.3%in the Qiu’s points group and 66.7%in the medication group,and there was no significant difference between the superficial needling group and Qiu’s points group(P>0.05),while the superficial needling and Qiu’s points groups were both significantly different from the medication group(P<0.05).The Qiu’s points group took a shorter time to show pain relief compared with the superficial needling and medication groups,and the differences were statistically significant(P<0.01).There were no significant differences in the VAS score across the three groups prior to treatment(P>0.05);after treatment,both the superficial needling and Qiu’s points groups were superior to the medication group comparing the VAS score,presenting statistical significance(P<0.01),while there was no significant difference in the VAS score between the superficial needling group and Qiu’s points group(P>0.05).The adverse reaction rate was lower in the Qiu’s points group than in the superficial needling and medication groups.Conclusion Superficial needling therapy and Qiu’s points acupressure therapy can produce equivalent clinical efficacy in treating renal colic,both superior to medication treatment;Qiu’s points acupressure therapy acts more quickly for pain relief without causing adverse reactions.