中医经络电生理联合针刺对体外冲击波碎石术后患者“减痛促排”的临床效果研究  

Clinical observation on the effect of traditional Chinese medicine meridian electrophysiology combined with acupuncture on"reducing pain and promoting excretion"in patients after ESWL

作　　者：尹仁武 李明智 郁超[1] 张志航 杨延涛 梁世杰 赵友康 YIN Ren-wu;LI Ming-zhi;YU Chao(Department of Urology,Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院泌尿外科,上海200032 [2]上海中医药大学附属曙光医院泌尿外科,上海200021

出　　处：《中国中西医结合外科杂志》2025年第2期245-249,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：国家卫生健康医药卫生科技发展研究中心课题(HDSL202001038);上海市科委(18401904400);上海市教委预算内教育教学类科研项目(23JYZX12);龙华医院特色适宜技术(yw.007.003,yw.010.015)。

摘　　要：目的:研究中医经络电生理技术联合针刺疗法对体外冲击波碎石术(ESWL)后输尿管结石患者“减痛促排”的临床效果。方法:选取2020年8月-2023年8月在上海中医药大学附属龙华医院泌尿外科行ESWL术的输尿管上段结石患者80例,采用随机数字表法分为治疗组和对照组各40例。对照组术后予以针刺疗法干预,治疗组术后采取中医经络电生理技术联合针刺疗法干预,比较两组临床疗效、半年后复发率、中医证候积分及疼痛视觉模拟量表(VAS)评分。结果:治疗组的总有效率为82.50%,高于对照组的52.50%(P<0.05)。治疗组复发率为6.00%,低于对照组的33.33%(P<0.05)。治疗后,两组患者中医症候积分总分、尿道灼热、腰痛、血尿三大主症及次症尿痛单项评分均降低,且治疗组各项评分低于对照组(P<0.05)。治疗后,两组患者VAS评分均降低,且治疗组评分低于对照组(P<0.05)。治疗后,两组患者治疗区域温度均降低,且治疗组的温度明显低于对照组(P<0.05)。结论:中医经络理论下电生理适宜技术联合针刺疗法可有效促进输尿管结石患者在ESWL术后结石的排出,缓解ESWL术后疼痛、排尿不适等症状,并减少结石复发率,“减痛促排”疗效确切,具有一定的临床价值。Objective To study the clinical efficacy of using traditional Chinese medicine(TCM)meridian electrophysiology technology combined with acupuncture therapy to reduce pain and promote excretion in patients with ureteral stones after extracorporeal shock wave lithotripsy(ESWL).Methods From August 2020 to August 2023,80 patients with upper ureteral calculi in the Department of Urology,Longhua Hospital were selected.After ESWL,we divided these 80 patients into treatment group and control group with 40 patients in each group by random number table.The control group received acupuncture treatment after the operation,and the treatment group was treated with TCM electrophysiological technique combined with acupuncture therapy after surgery.The clinical efficacy,recurrence rate,TCM syndrome score and visual pain score of the two groups were compared.Results The overall effective rate of the treatment group was 82.50%higher than that of the control group(52.50%)(P<0.05).The recurrence rate of the treatment group was 6.00%,which was lower than that of the control group(33.33%)(P<0.05).After treatment,the total scores of TCM symptom scores including the three main symptoms and secondary symptoms of lumbago and hematuria of the two groups were lower than that,and the scores of the treatment group were lower than those of the control group(P<0.05).After treatment,the scores of VAS in the treatment group were lower than those in the control group(P<0.05).After treatment,the temperature in the treatment area of the two groups lower than before,and the temperature of the treatment group was significantly lower than that of the control group(P<0.05).Conclusion The combination of electrophysiological suitable technique and acupuncture therapy under the meridian theory of Traditional Chinese medicine can effectively promote the expulsion of ureteral stones after ESWL,relieve postoperative pain,urination discomfort and other symptoms,and reduce the recurrence rate of ureteral stones.It is safe without side effects and has certain clin

关 键 词：针刺 输尿管结石 体外冲击波碎石 减痛促排 中医经络电生理技术 

分 类 号：R693.4[医药卫生—泌尿科学]