摘要
目的观察足三里和承山穴黄体酮穴位注射治疗肾绞痛的临床效果。方法选取江安县中医医院泌尿外科2019年6月1日—2019年12月31日收治的急性肾绞痛(湿热下注型)患者64例,随机分为观察组和对照组,各32例。2组常规静脉给药间苯三芬注射液80 mg基础上,对照组予黄体酮20 mg肌肉注射,观察组予黄体酮20 mg穴位注射,根据疼痛视觉模拟评分表(Visual analogue scale,VAS)和行为疼痛量表(Beharvioral pain scale,BPS)进行评分,对比分析2组患者的排石、镇痛、预后。结果经治疗后,观察组的VAS和BPS评分均低于对照组,60 min内的镇痛效果优于对照组,差异有统计学意义(P<0.05),观察组总有效率为93.75%(30/32),高于对照组的87.50%(28/32),差异有统计学意义(P<0.05);观察组的结石排出率为87.5%(28/32),对照组为68.75%(22/32),差异有统计学意义(P<0.05),结石复发率观察组为18.75%,明显低于对照组的34.38%。结论足三里联合承山黄体酮穴位注射能迅速有效缓解急性肾绞痛患者的疼痛,可广泛运用于临床治疗。
Objective To observe the clinical effect of acupoint injection of Zusanli(St36)and Chengshan(B57)in the treatment of renal colic.Methods 64 cases of acute renal colic(hypothermic injection type)from June 1,2019 to December 31,2019 in Jiang’an Hospital of Traditional Chinese Medicine were selected and randomly divided them into observation group and control group,with 32cases in each.On the basis of 80 mg of routine intravenous administration of m-phenylene trifenac injection,the control group was given progesterone 20 mg intramuscular injection,and the observation group was given progesterone 20 mg acupoint injection.According to Visual analogue Scale(VAS)and Beharvioral pain Scale(BPS),stone removal,analgesia and prognosis of 2 groups were compared and analyzed.Results After treatment,VAS and BPS scores of the observation group were lower than those of the control group,and the analgesic effect within 60 min was better than that of the control group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was 93.75%(30/32),which was higher than 87.50%(28/32)of the control group,the difference was statistically significant(P<0.05).The stone excretion rate of the observation group was 87.5%(28/32),while that of the control group was 68.75%(22/32),the difference was statistically significant(P<0.05).The stone recurrence rate of the observation group was 18.75%,which was significantly lower than that of the control group(34.38%).Conclusion Acupoint injection progesterone of Zusanli(St36)and Chengshan(B57)in the treatment of renal colic can relieve and effectively relieve pain in patients with acute renal colic and can be widely used in clinical treatment.
作者
万燕
信岚
陈艳红
WAN Yan;XIN Lan;CHEN Yanhong(Department of Urology,Jiang’an Hospital of Traditional Chinese Medicine,Sichuan Province,Yibin 644000,China;Department of Orthopedics,Jiang’an Hospital of Traditional Chinese Medicine,Sichuan Province,Yibin 644000,China;Department of Internal Medicine,Jiang’an Hospital of Traditional Chinese Medicine,Sichuan Province,Yibin 644000,China)
出处
《中国中医药现代远程教育》
2021年第19期117-119,共3页
Chinese Medicine Modern Distance Education of China
关键词
足三里
承山
黄体酮
穴位注射疗法
肾绞痛
石淋
Zusanli(St36)
Chengshan(B57)
progesterone
acupoint injection
renal colic
urolithic stranguria
