平衡针与西医药物治疗急性结石性肾绞痛的镇痛效果比较  

Comparison of analgesic effect of balance acupuncture and Western medicine in the treatment of acute calculous renal colic

作　　者：温慰[1] 林黄果[1] 张国雄[1] 郭彦伶[1] 陈伯钧[1] WEN Wei;LIN Huangguo;ZHANG Guoxiong;GUO Yanling;CHEN Bojun(Guangdong Provincial Hospital of Traditional Chinese Medicine/The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510120,China)

机构地区：[1]广东省中医院/广州中医药大学第二附属医院,510120

出　　处：《重庆医学》2020年第S02期3-6,共4页Chongqing medicine

基　　金：广东省科学技术厅项目(2013B021800245)。

摘　　要：目的探究平衡针疗法在急性结石性肾绞痛治疗中的应用价值。方法选取2017年3月至2019年9月该院急诊科收治的急性结石性肾绞痛患者134例作为研究对象,依据患者不同意愿分为研究组(68例)和对照组(66例)。对照组采用西医药物治疗,研究组采取平衡针疗法治疗。观察两组患者止痛起效时间、止痛持续时间、不良反应发生情况、30 min后疼痛视觉模拟评分(VAS)及镇痛总有效率。结果研究组患者治疗后止痛起效时间、止痛持续时间均明显优于对照组,差异均有统计学意义(P<0.05)。两组患者治疗前VAS比较,差异无统计学意义(P>0.05);两组患者治疗后30 min VAS均较治疗前明显降低,且研究组患者治疗后30 min VAS明显低于对照组,差异均有统计学意义(P<0.05)。研究组患者不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。研究组患者治疗后30 min镇痛总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论采用平衡针疗法治疗急性结石性肾绞痛患者起效快,镇痛效果好,不良反应发生率低,总体镇痛疗效突出。Objective To explore the application value of balance acupuncture in the treatment of acute calculous renal colic.Methods A total of 134 patients with acute calculous renal colic admitted to the emergency department of Guangdong Hospital of traditional Chinese medicine from March 2017 to September 2019 were selected as the study objects.According to the different wishes of patients,they were divided into two groups.The control group(66 cases)was treated with western medicine,and the study group(68 cases)was treated with balance acupuncture.The analgesic onset time,analgesic duration,adverse reactions,visual analogue score(VAS)and total analgesic effect after 30 minutes were observed in both groups.Results The onset time and duration of pain relief in the study group were significantly longer than those in the control group(P<0.05);There was no significant difference in VAS score between the two groups before treatment(P>0.05);After 30 minutes of treatment,the VAS score of the two groups was significantly lower than that of the control group(P<0.05);The incidence of adverse reactions in the study group(2.94%)was significantly lower than that in the control group(15.15%,P<0.05);The total effective rate of analgesia in the study group was 97.06%at 30 minutes after treatment,which was significantly higher than that in the control group(81.82%,P<0.05).Conclusion The balance acupuncture therapy has the advantages of quick effect,good analgesic effect,low incidence of adverse reactions and outstanding overall analgesic effect in the treatment of acute calculous renal colic.

关 键 词：急性结石性肾绞痛 平衡针治疗 镇痛 

分 类 号：R47[医药卫生—护理学]