中药穴位贴敷和耳穴压豆在上尿路结石体外冲击波碎石术后促排石方面的效果研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R691.4

基金项目:


Decorporation Effect of Point Application with Chinese Herbal Medicine and Auricular Point Sticking with Beans on Upper Urinary Calculi After ESWL
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察中药穴位贴敷和耳穴压豆的应用在促进上尿路结石体外冲击波碎石术(ESWL) 后排石方面的效果。方法:将140例湿热下注证患者随机分为对照组和观察组各70例。2组均采用ESWL治疗,术后给予盐酸左氧氟沙星片、石淋通颗粒治疗,并给予术后护理指导。观察组加予中药穴位贴敷和耳穴压豆。2 组于ESWL 术后连续治疗10 d。记录2 组患者行ESWL的次数、结石排净情况和结石排净时间,或残石情况(大小、数量),记录ESWL术后3 d的疼痛情况、肾绞痛发生次数。比较2 组的临床疗效。结果:治疗后,观察组治愈率高于对照组(P<0.05)。观察组ESWL 次数和肾绞痛发生次数均少于对照组(P<0.05,P<0.01)。观察组结石排净率82.86%,高于对照组的65.71% (P<0.05);观察组结石排净时间短于对照组(P<0.05),残石数量少于对照组(P<0.05),残石大小组间比较无统计学差异(P>0.05)。观察组ESWL术后1~3 d的疼痛评分均低于对照组(P<0.01)。结论:中药穴位贴敷和耳穴压豆的使用可进一步加快ESWL术后结石的排出,减少残石数量,减轻患者术后的疼痛,提高排石效果。

    Abstract:

    Abstract:Objective:To observe the effect of point application with Chinese herbal medicine and auricular point sticking with beans on promoting the discharge of upper urinary calculi after extracorporeal shock wave lithotripsy(ESWL). Methods:A total of 140 cases of patients with downward flow of damp-heat syndrom were randomly divided into the control group and the observation group,70 cases in each group. Both groups were treated with ESWL,followed by postoperative treatment with levofloxacin hydrochloride tablets and Shilintong granules,as well as postoperative nursing guidance. The observation group was additionally treated with point application with Chinese herbal medicine and auricular point sticking with beans. Both groups were treated for 10 days after ESWL. The frequency of ESWL, stone discharge, stone- free time, the size and quantity of residual stones,as well as the pain and the frequency of renal colic in three days after ESWL were recorded. The clinical effect in the two groups was compared. Results:After treatment,the cure rate in the observation group was higher than that in the control group(P<0.05). The frequency of both ESWL and renal colic in the observation group was lower than that in the control group(P<0.05,P<0.01). The stone-free rate was 82.86% in the observation group ,higher than that of 65.71% in the control group(P<0.05);the stone-free time in the observation group was shorter than that in the control group (P<0.05);the residual stones were fewer than those in the control group(P<0.05). There was no significant difference being found in the comparison of the size of residual stones between the two groups(P>0.05). During the first three days after ESWL,the pain scores in the observation group were all lower than those in the control group(P<0.01). Conclusion:The nursing measures of point application with Chinese herbal medicine and auricular point sticking with beans can further accelerate the discharge of stones after ESWL, reduce the quantity of residual stones, relieve the postoperative pain of patients,and improve the effect of the discharge of stones.

    参考文献
    相似文献
    引证文献
引用本文

华青芬,毛聪波.中药穴位贴敷和耳穴压豆在上尿路结石体外冲击波碎石术后促排石方面的效果研究[J].新中医,2020,52(11):126-129

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-06-04
  • 出版日期: