Therapeutic effect of acupuncture and moxibustion combined with conventional western medicine in patients with renal colic and urinary calculi
HOU Shu-heng,ZHAO Qiu-fang,HOU Wen-qing
Abstract:
Objective To analysis of the therapeutic effect of acupuncture and moxibustion combined with conventional western medicine in emergency patients with renal colic and urinary calculi. Methods A total of 60 emergency patients with renal colic and urinary calculi treated in Shijiazhuang Hospital of Traditional Chinese Medicine were enrolled between August 2023 and September 2024. According to random number table method, they were divided into routine group (n=30, routine relieving spasm and pain) and acupuncture group (n=30, acupuncture strong stimulation therapy on basis of routine group). The changes of clinical symptoms before and after treatment, pain duration and incidence of remedial analgesia were compared between the two groups. The levels of serum 5-hydroxytryptamine (5-HT), P substance (SP) and kidney injury molecule 1 (KIM-1) were detected before and after treatment. Results At 10 min and 30 min after treatment, scores of numerical rating scale (NRS) were decreased in both groups, which were lower in acupuncture group, and there was significant time × inter-group interaction with time (P <0.05). After treatment, scores of Wong-Baker facial expression scale and Short-form McGill Pain Questionnaire (SF-MPQ) were decreased in both groups, which were lower in acupuncture group (P <0.05). The pain duration in acupuncture group was shorter than that in routine group (P <0.05). After treatment, levels of 5-HT and SP were decreased, while KIM-1 was increased in both groups, and levels of 5-HT, SP and KIM-1 were lower in acupuncture group (P <0.05). There was no significant difference in the incidence of adverse events between acupuncture group and routine group (6.67% vs 20.00%, P >0.05). Conclusion Acupuncture strong stimulation therapy combined with routine western medicine provides more effective pain relief, shortens pain duration, and reduces stress responses in emergency patients with renal colic due to urinary calculi, with a favorable safety profile. It is worthy of clinical application.
