针刺与度冷丁对121例输尿管结石绞痛患者镇痛和排石作用的临床分析  

Clinical Analysis on the Therapeutic Effect of Electroacupuncture for Treatment of 121 Cases of Ureterolith with Colic

作　　者：尹淑英[1] 魏守顺[2] 刘晓翎[2] 

机构地区：[1]解放军总医院针灸科,北京100853 [2]武警总医院,北京100039

出　　处：《针刺研究》2004年第1期66-68,共3页Acupuncture Research

摘　　要：目的 :探讨临床针刺与药物对输尿管结石绞痛患者的镇痛作用和排石效果。方法 :1 2 1例输尿管结石绞痛患者随机分为针刺组和药物组。针刺组主穴为双侧肾俞、膀胱俞、中极、委中、金门、三阴交、足三里、内关 ,并配以阿是穴。采用电针疗法 ,每次 3 0min ,每日 1次 ,观察两周。药物组选用度冷丁、654 Ⅱ或颠茄 ,观察两周。结果 :两组均有明显的镇痛作用 ,针刺组治疗后绞痛缓解时间和镇痛作用的持续时间分别为 1 6 3 3± 6 3 7min、4 60± 1 42hr,药物组为 1 5 44± 6 0 1min、4 54± 1 40hr。两组比较差异无显著性意义 (P均 >0 0 5)。针刺组两周内排石 60 3 2 % ,药物组43 1 0 % ,两组比较差异不显著 (P >0 0 5)。结论 :针刺 (电针 )疗法有明显的排石和镇痛作用 ,是治疗输尿管结石绞痛的理想方法。Objective:To observe the therapeutic effect of electroacupuncture (EA) in the treatment of ureterolith patients. Methods: 121 cases of ureterolith patients were randomly divided into EA group ( n =63) and medication group ( n =58). In EA group, Shenshu (BL 23), Pangguangshu (BL 28), Zhongji (CV 3), Weizhong (BL 40), Sanyinjiao (SP 6), Zusanli (ST 36), Neiguan (PC 6), etc. were punctured and stimulated electrically for 30?min. Patients of medication group were treated with intramuscular injection of Pethidine Hydroenloride(100?mg) and Anisodaminum (20 mg), once daily. Results: After two weeks' treatment, comparison between EA group and medication group in pain relieving time (16.33±6.37 min vs 15.44±6.01 min )and analgesia maintaining time (4.60±1.42 hr vs 4.54±1.40 hr ) showed no significant difference ( P >0.05), suggesting that both acupuncture and medication could remarkably relieve calculus induced ureteral colic. Results of ultrasonic examination or X ray film examination showed that the lithiasis removal rates of EA and medication groups were 60.32% and 43.10% respectively. Conclusion: Electroacupuncture can effectively promote the removal of ureteral calculus and reduce lithiasis induced colic in ureterolith patients.

关 键 词：度冷丁 输尿管结石 镇痛 针灸疗法 取穴 急腹症 

分 类 号：R693.4[医药卫生—泌尿科学]