针刺联合体外碎石治疗输尿管结石的疗效观察  

Observation of curative effect of acupuncture combined withextracorporeal lithotripsy in treatment of ureteral calculi

作　　者：田振涛[1] 刘宏岳 徐浩[1] 许召良[1] 易虎[1] 于明杰[1] TIAN Zhen-tao;LIU Hong-yue;XU Hao;XU Zhao-liang;YI Hu;YU Ming-jie(Department of Urology,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院泌尿外科,国家中医针灸临床医学研究中心,天津300381

出　　处：《中国城乡企业卫生》2024年第10期9-13,共5页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 观察针刺联合体外碎石治疗输尿管结石的临床疗效,为临床治疗输尿管结石提供参考。方法 选取2022年5月—2023年5月就诊于天津中医药大学第一附属医院泌尿外科急诊的输尿管结石并行体外冲击波碎石治疗的患者共计800例,应用随机数字表法将其分成观察组和对照组各400例。对照组给予体外冲击波碎石治疗,观察组在体外冲击波碎石治疗的基础上给予针刺治疗。比较两组患者排石率、排石时间、术后疼痛程度、复碎率、手术率、疼痛缓解率、中医证候积分有效率。结果 观察组总排石率、复碎率、手术率均低于对照组,差异均有统计学意义(P<0.05)。观察组排石时间短于对照组,疼痛程度评分低于对照组,差异均有统计学意义(P<0.05)。观察组疼痛缓解率为96.50%,低于对照组的79.50%,差异有统计学意义(P<0.05)。观察组治疗后中医证候积分总有效率为87.50%,高于对照组的81.00%,差异有统计学意义(P<0.05)。结论 针刺治疗配合体外冲击波碎石能够有效提高患者的排石率,缩短排石时间,减轻患者排石期间的肾绞痛,有效减少患者复碎及手术治疗的比例,明显改善患者生活质量,值得临床推广应用。Objective To observe the clinical efficacy of acupuncture combined with extracorporeal lithotripsy in the treatment of ureteral calculi,to provide reference for clinical treatment of ureteral calculi.Methods A total of 800 patients with ureteral calculi who were treated with extracorporeal shock wave lithotripsy in the emergency department of urology of First Teaching Hospital of Tianjin University of Traditional Chinese Medicine from May 2022 to May 2023 were selected and divided into observation group and control group with 400 cases in each group by random number table method.The control group treated with extracorporeal shock wave lithotripsy,the observation group was given acupuncture treatment on the basis of the treatment of extracorporeal shock wave lithotripsy.The rate of stone expulsion,the time of stone expulsion,the degree of postoperative pain,the rate of re-fragmentation,the rate of operation,pain relief rate,TCM syndrome integral efficiency rate between two groups were compared.Results The total stone expulsion rate,re-fragmentation rate and operation rate of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The time of stone expulsion of the observation group was shorter than that of the control group,and the pain degree score was lower than that of the control group,and the differences were statistically significant(P<0.05).The pain relief rate of the observation group was 96.50%,which was lower than that of the control group with 79.50%,and the differences was statistically significant(P<0.05).The effective rate of TCM syndrome integral in the observation group after treatment was 87.50%,which was higher than that in the control group with 81.00%,and the difference was statistically significant(P<0.05).Conclusion The combination of acupuncture and extracorporeal shock wave lithotripsy could effectively increase the rate of stone expulsion,shorten the timeof stone expulsion,relieve renal colic during stone expulsion,effecti

关 键 词：输尿管结石 体外冲击波碎石 针刺 

分 类 号：R269[医药卫生—中西医结合]