摘要
目的探讨电子输尿管软镜钬激光碎石联合穴位刺激治疗上尿路结石的临床疗效。方法选取2016年10月至2017年8月在本院收治并采用电子输尿管软镜钬激光碎石的上尿路结石患者138例,根据入院时间采用区组随机化原则分为两组,软镜术后联合穴位电刺激组(治疗组)和单纯软镜碎石组(对照组),每组患者各69例。穴位选取双足底-涌泉、双肘关节-曲池、双膝关节-足三里、双踝关节上方-三阴交。穴位刺激时间选择在术后第1天开始,每日进行2次穴位治疗,共治疗5d。对患者术后4周进行调查,观察患者术后腰痛、夜尿次数、发热、血尿等症状,判断术后并发症发生情况。患者术后第1周、2周、4周及6周行KUB、泌尿系彩超或泌尿系CT检查,比较两组患者结石清除率。结果治疗组术后1周及2周患者血尿发生率、夜尿次数均低于对照组(P<0.05);治疗组在术后第1周、2周、4周及6周结石清除率均高于对照组(P<0.05)。结论电子输尿管软镜联合穴位电刺激能改善术后血尿及夜尿等症状,有效提高患者结石清除率,值得临床推广。
Objective To explore the clinical effect of retrograde intrarenal surgery(RIRS)combined with acupoint stimulation in the treatment of upper urinary calculi.Methods A total of 138 cases of upper urinary calculi with RIRS in our hospital from October 2016 to August 2017 were selected.The patients were randomly divided into two groups:treatment group(RIRS combined with acupoint stimulation)and control group(RIRS).Double foot-Sanyinjiao,double elbow-Quchi,double knee-Zusanli,double above the ankle-Sanyinjiao were selected.The time of acupoint stimulation was selected first day after the operation,and 2 acupoint treatments were performed daily for 5-day.The postoperative complications were evaluated at 4 week after operation.At the 1 week,2 weeks,4 weeks and 6 weeks after operation,KUB,Doppler ultrasound or CT examination of urinary system were performed to observe the stone free rate(SFR).Results SFR in the treatment group was higher than that of the control group after the operation(P<0.05).The incidence of hematuria and the number of nocturia in the treatment group were lower than control group in eraly time of postoperation(P<0.05).Conclusions RIRS combined with acupoint stimulation can improve the SFR and reduce compications.
作者
王亚东
刘尚文
温志鹏
余绍龙
陈智锋
林峰
Wang Yadong;Liu Shangwen;Wen Zhipeng;Yu Shaolong;Chen Zhifeng;Lin Feng(Department of Urology,Shenzhen Chinese Traditional Medical Hospital,Shenzhen 518036,China)
出处
《国际泌尿系统杂志》
2019年第2期239-241,共3页
International Journal of Urology and Nephrology
关键词
尿路结石
输尿管镜
穴位按压
Urinary Calculi
Ureteroscopes
Acupressure
