腕踝针联合三金排石汤对肾结石患者输尿管软镜碎石术后排石、疼痛程度及肾功能的影响  

Effect of wrist-ankle acupuncture combined with Sanjin Paishi Decoction on stone removal, pain degree and renalfunction after ureteral flexible lithotripsy

作　　者：杨智如 李浩露 赵高勇 向玉洁 YANG Zhiru;LI Haolu;ZHAO Gaoyong(Surgery Department of Ya’an Traditional Chinese Medicine Hospital,Ya’an Sichuan 625000,China)

机构地区：[1]雅安市中医医院外科,四川雅安625000

出　　处：《四川中医》2024年第8期131-134,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察腕踝针联合三金排石汤对肾结石患者输尿管软镜碎石术后排石、疼痛程度及肾功能的影响。方法:将2020年8月~2023年2月收治的94例采用输尿管软镜碎石术治疗的肾结石患者分为两组。对照组术后给予抗生素+氢溴酸山莨菪碱,观察组术后在对照组基础上给予腕踝针联合三金排石汤治疗。比较两组排石情况、并发症情况、疼痛程度、中医证候评分及肾功能、炎症因子水平。结果:观察组患者首次排石时间(1.25±0.26)d、排石周期(13.56±2.17)d均短于对照组[(1.98±0.31)d和(17.45±2.69)d],碎石次数(1.64±0.31)次少于对照组(2.42±0.39)次,出血、尿路感染、发热、尿瘘等并发症率(4.26%)与对照组(8.51%)比较,无统计学差异(P>0.05)。两组患者治疗后3d、7d疼痛程度评分均降低,观察组较对照组更低(P<0.05)。两组患者治疗前肾功能、炎症因子比较,无统计学差异(P>0.05)。两组患者治疗后血肌酐(Scr)、24h尿蛋白(24h UPro)、尿肾损伤分子-1(KIM-1)均降低,对照组患者治疗后高敏-C反应蛋白(hs-CRP)、白细胞介素-10(IL-10)均升高,观察组治疗后hs-CRP、IL-10与治疗前比较,无统计学差异(P>0.05)。观察组患者治疗后肾功能、炎症因子较对照组更低(P<0.05)。两组患者治疗前中医证候评分比较,无统计学差异(P>0.05)。两组患者治疗后腰腹绞痛、痛处固定、尿中带血、小便淋漓涩痛、大便难解及总分均降低,观察组治疗后中医证候评分较对照组更低(P<0.05)。结论:腕踝针联合三金排石汤用于肾结石输尿管软镜碎石术后可抑制炎症反应,改善肾功能,提高术后排石效果。Objective To observe the effects of wrist-ankle acupuncture combined with Sanjin Paishi Decoction on stone discharge,pain degree and renal function after ureteral flexible lithotripsy.Methods From August 2020to February 2023,94patients with kidney stones treated by ureteral soft lithotripsy were divided into two groups.The control group was given antibiotics+anisodamine hydrobromide after operation,and the observation group was given wrist and ankle acupuncture combined with Sanjin Paishi Decoction on the basis of the control group.The stone discharge,complications,pain degree,TCM syndrome score,renal function and inflammatory factor levels were compared between the two groups.Results The first stone removal time(1.25±0.26)d and stone removal period(13.56±2.17)d in observation group were shorter than those in control group[(1.98±0.31)d and(17.45±2.69)d],and the number of lithotomy times(1.64±0.31)was shorter than that in control group(2.42±0.39).The complication rates of hemorrhage,urinary tract infection,fever and urinary fistula(4.26%)were not significantly different from those of the control group(8.51%)(P>0.05).The pain degree scores of both groups were decreased at 3d and 7d after treatment,and the observation group was lower than the control group(P<0.05).There were no significant differences in renal function and inflammatory factors between the two groups before treatment(P>0.05).After treatment,serum creatinine(Scr),24h urinary protein(24h UPro)and urinary kidney injury molecule-1(KIM-1)were decreased in both groups,while hypersensitive C-reactive protein(hs-CRP)and interleukin-10(IL-10)were increased in control group.There was no significant difference in hs-CRP and IL-10between the observation group after treatment and before treatment(P>0.05).After treatment,renal function and inflammatory factors in observation group were lower than those in control group(P<0.05).There was no significant difference in TCM syndrome scores between the two groups before treatment(P>0.05).After treatment,lumbago co

关 键 词：腕踝针 三金排石汤 肾结石 输尿管软镜碎石术 肾功能 

分 类 号：R692.4[医药卫生—泌尿科学]