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1. 解放军总医院针灸科
2. 武警总医院
3. 武警总医院,北京,100853
4. ,北京,100039
纸质出版日期:2004
移动端阅览
尹淑英, 魏守顺, 刘晓翎. 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[J]. 针刺研究, 2004,(1):66-68.
Clinical Analysis on the Therapeutic Effect of Electroacupuncture for Treatment of 121 Cases of Ureterolith with Colic[J]. Acupuncture research, 2004, (1): 66-68.
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.
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