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腕踝针治疗肾绞痛的临床有效性及安全性研究
李思逸,林美珍,古炽明,陈志强
广州中医药大学第二附属医院广东省中医院二沙岛分院外科广州 510106
摘要:
目的:探讨腕踝针治疗肾绞痛患者的临床有效性和安全性。方法:选取120例肾绞痛患者,随机数字表法随机分为腕踝针组和对照组各60例。腕踝针组运用腕踝针治疗,对照组肌注酮咯酸氨丁三醇治疗。比较两组的等待治疗时间、不同时间段的治疗效果、总体疗效、24 h内疼痛复发率、不良反应等指标。结果:腕踝针组的等待治疗时间为(1.18±0.45)min,短于对照组的(5.17±3.89)min(P<0.001);VAS评分方面,在治疗后即刻、0.5 h、2 h、5 h,腕踝针组疼痛评分均低于对照组(P<0.05);腕踝针组总有效率为98.33%,对照组为93.33%,差异无统计学意义(P=0.210);不良反应方面,腕踝针组发生率(3.33%)较对照组(16.67%)低,差异有统计学意义(P=0.010)。结论:腕踝针组和对照组都能降低肾绞痛的疼痛评分;但腕踝针等待治疗的时间更短,可迅速缓解肾绞痛,且不良反应小,值得临床推广应用。
关键词:  腕踝针  肾绞痛  疗效  安全性
DOI:10.3969/j.issn.1007-6948.2023.01.016
基金项目:广东省中医院中医药科学技术研究专项资助项目(YN2019HL01)
Clinical efficacy and safety of wrist ankle acupuncture in the treatment of renal colic
LI Si-yi,LIN Meizhen,GU Chi-ming
Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou510105, China
Abstract:
Objective To observe the efficacy and safety of wrist ankle acupuncture in patients with renal colic. Methods 120 patients with renal colic were randomly divided into wrist ankle acupuncture group (60 cases) and control group (60 cases). The wrist ankle acupuncture group was treated with wrist ankle acupuncture, and the control group was treated with ketorolac tromethamine. The waiting time for treatment, treatment effect in different time periods, overall efficacy, 24h pain recurrence rate, adverse reactions and other observation indicators were used to evaluate before and after treatment. Results The waiting time for treatment in wrist ankle acupuncture group[(1.18±0.45) min] was shorter than that in control group [(5.17±3.89) min] (P<0.001); In terms of VAS score, patients in the wrist ankle acupuncture group had lower pain scores at the time point of 0.5 h, 2 h and 5 h after treatment (P<0.05); In the overall efficacy evaluation, the total effective rate of wrist ankle acupuncture group was 98 . 33 %, and that of control group was 93 . 33 %, the difference of groups has no statistic significance (P=0.210); In terms of adverse reactions, the incidence of wrist ankle acupuncture group (3.33%) was lower than that of the control group (16.67%), the difference is statistically significant(P=0.010). Conclusion Both wrist ankle acupuncture group and control group can reduce the pain score of renal colic; However, the wrist ankle acupuncture group has shorter waiting time for treatment, can rapidly relieve renal colic, and has less adverse reactions, which is worthy of clinical application.
Key words:  Wrist ankle acupuncture  renal colic  efficacy  security

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