针刺和杜冷丁对输尿管结石绞痛镇痛和排石作用121例临床分析  

Analysis of the Treatment of Colic Caused by Ureter Calculus and Removal of the Calculus with Acupuncture and Pethidine Hydroenloride

作　　者：冯艳京[1] 魏守顺[1] 尹淑英[1] 

机构地区：[1]武警总医院泌尿外科碎石中心,北京100039

出　　处：《中华临床医学杂志》2008年第12期5-6,共2页Chinese Journal of Clinical Practical Medicine

摘　　要：目的观察电针与药物对输尿管结石绞痛的镇痛作用和排石效果。方法121例输尿管结石绞痛患者随机分成电针组和药物组（用杜冷丁、解痉药治疗）。结果电针疗法能促进排石和缓解绞痛的作用。两组对绞痛缓解时间和镇痛持续时间作用相似，电针组治疗后绞痛缓解时间和镇痛作用的持续时间分别为（16．33±6．37）min、（4．60±1．42）h，药物组分别为（15．44±6．01）min、（4．54±1．40）h。两组比较，差异无显著性意义（P〉O．05）。电针组2周内排石率为60．32％，药物组（43．10％），电针组排石率高于药物组，两组比较，差异无显著性意义（P〈0．05）。结论电针疗法有明显的排石和镇痛作用。Objective To observe the treatment of colic caused by ureter calculuses and removal of the latter with acupuncture compared with medicine. Methods 121 cases were divided into two groups randomly： observation group treated with electro-acupuncture and control one treated with medicines such as Pethidine Hydroenloride（Dolantin, Meperidine）. Results Both acupuncture and medicine had effect. The time of remission and continuance with acupuncture were （16.33 ± 6.37）minutes and （4.60 ± 1.42）hours. Compared with acupuncture the time of the control were （15.44±6.01）minutes and （4.54± 1.40）hours. It was significant（P〈 0.05）. The effect rate of removal with acupuncture was 60.32%, which was better than medicine（43.10%）. Conclusion Acupuncture has obvious effect on removal of ureter calculuses and it＇s effect is better than that of the medicine. Acupuncture is an ideal way to treat colic caused by ureter calculuses. It＇s advantage is no side-effect.

关 键 词：输尿管结石 绞痛 针刺疗法 杜冷丁 

分 类 号：R693.4[医药卫生—泌尿科学]