摘要
目的观察腕踝针在泌尿系并发急性肾绞痛中的临床镇痛疗效。方法选取2018年5月至2019年12月肇庆市第二人民医院泌尿外科收治的急性肾绞痛发作患者164例为研究对象,随机分成对照组和观察组,每组各82例,对照组给予常规阿片类(曲马多等)药物镇痛治疗,观察组采取腕踝针刺针镇痛治疗,并留针2 h。比较两组患者治疗后疼痛程度MPQF评分和疼痛缓解时间、临床疗效及不良反应情况。结果在疼痛程度评分方面,两组患者在治疗后5 min、30 min、1 h及6 h的疼痛程度MPQF评分比较,差异均无统计学意义(P>0.05),而在治疗后10 min、12 h及24 h的疼痛程度MPQF评分比较,差异均有统计学意义(P<0.05)。在疼痛缓解时间方面,观察组治疗后起效时间明显低于对照组,差异有统计学意义(P<0.05);而缓解时间明显高于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后24 h内镇痛总有效率为92.68%,明显高于对照组(81.71%),差异有统计学意义(P<0.05)。观察组总不良反应率为9.76%,明显低于对照组的23.17%,差异有统计学意义(P<0.05)。结论腕踝针广泛应用于泌尿系急性肾绞痛镇痛治疗,疗效显著,不良反应少,突显中医针灸技术优势,值得临床推广应用。
Objective To observe the clinical analgesic effect of wrist-ankle acupuncture in urinary calculi complicated with acute renal colic.Methods A total of 164 patients with episode of acute renal colic treated in the Department of Urology of Zhaoqing Second People’s Hospital from May 2018 to December 2019 were randomly divided into the control group(n=82)and the observation group(n=82).The control group was treated with routine opioid(tramadol,etc.),and the observation group received wrist-ankle acupuncture and needle retention for 2 hours.The MPQF score,pain relief time,clinical efficacy and adverse reactions(ADRs)were compared between the two groups after treatment.Results In terms of pain degree score,there was no significant difference in MPQF score between the two groups 5 min,30 min,1 h and 6 h after treatment(P>0.05),but there were significant differences in MPQF score 10 min,12 h and 24 h after treatment(P<0.05).As for pain relief time,the onset time after treatment in the observation group was significantly shorter than that in the control group,and the difference was statistically significant(P<0.05),while the pain relief time in the observation group was significantly longer than that in the control group,and the difference was statistically significant(P<0.05).The total effective rate of analgesia within 24 hours after treatment in the observation group was 92.68%,which was significantly higher than that in the control group(81.71%),and the difference was statistically significant(P<0.05).The total ADRs rate in the observation group(9.76%)was significantly lower than that in the control group(23.17%)(P<0.05).Conclusion The wrist-ankle acupuncture is widely used in the analgesic treatment of urinary calculi complicated with acute renal colic with remarkable curative effect and less ADRs,which bears the advantages of TCM acupuncture,thus worthy of clinical application.
作者
刘玉简
黄健
林丝敏
LIU Yujian;HUANGJian;LIN Simin(Department of Urology,Zhaoqing Second People's Hospital,Guangdong,Zhaoqing 526060,China)
出处
《中国医药科学》
2021年第3期4-7,共4页
China Medicine And Pharmacy
基金
广东省医学科研基金项目(B2019229)
广东省肇庆市科技创新指导类项目(202004031356)。
关键词
腕踝针
急性肾绞痛
曲马多
镇痛
Wrist-ankle acupuncture
Acute renal colic
Tramadol
Analgesia