中医特色护理措施联合常规医护措施干预尿路结石体外冲击波碎石术后疗效分析
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R248.2;R699

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An Analysis of Curative Effect of Chinese Medicine Special Nursing Measures Combined with Conventional Interventions in Treating Patients with Urinary Calculi After Extracorporeal Shock Wave Lithotriptor
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    摘要:

    目的:观察在常规医护措施基础上加用耳穴压豆、饮食指导和针刺疗法干预尿路结石体外冲击波碎石术(ESWL)后患者的效果。方法:将 120 例符合要求的湿热瘀滞证患者随机分为对照组和观察组各 60 例。2 组患者于 ESWL 术后均服用左氧氟沙星片、盐酸坦索罗辛缓释胶囊治疗 7 d,并给予术后护理。观察组加予耳穴压豆、饮食指导和针刺疗法,疗程为 7 d。比较 2 组患者术后 4 h、12 h、24 h 及 48 h 的疼痛数字评分法 (NRS) 评分及术后 7 d 内的最高 NRS 评分,记录术后 7 d 内肾绞痛发生的次数,统计结石排净情况、腰痛缓解时间及肉眼血尿消失时间,比较 2 组的疼痛缓解情况。结果:术后 3 d,观察组疼痛缓解效果优于对照组,差异有统计学意义(P<0.05)。2 组术后 NRS 评分均逐渐降低(P<0.05)。观察组术后 4 h、12 h、24 h 及 48 h 的 NRS 评分均低于对照组(P<0.01)。观察组术后 7 d 内的最高 NRS 评分低于对照组(P<0.01),腰痛缓解时间及肉眼血尿消失时间均较对照组缩短 (P<0.01)。术后 7 d 内,观察组肾绞痛发生率、结石排净率均高于对照组,残石数量少于对照组,护理满意度高于对照组,差异均有统计学意义(P<0.05)。结论:在常规治疗和护理的基础上给予耳穴压豆、饮食指导和针刺疗法干预 ESWL 术后患者,可促进结石排出,减少结石残留,有效缓解术后疼痛,缩短病程,提高 ESWL 的综合治疗效果。

    Abstract:

    Abstract:Objective:To observe the effect of auricular point pressing with beans,dietary guidance and acupuncture on patients with urinary calculi after extracorporeal shock wave lithotripsy(ESWL) based on the conventional interventions. Methods:A total of 120 eligible patients with damp- heat stasis and stagnation syndrome were randomly divided into the control group and the observation group,60 cases in each group. Both groups were treated with levofloxacin tablets and Tamsulosin hydrochloride sustained- release capsules for seven days after ESWL, and were given postoperative nursing measures. The observation group was additionally given auricular point pressing with beans, dietary guidance and acupuncture for seven days. The Numerical Rating Scale(NRS) on pain at 4 h,12 h,24 h and 48 h after surgery and the highest NRS score within seven days after surgery were compared between the two groups. The incidence of renal colic within seven days after surgery were recorded. The calculi drainage,the relief time of lumbago and the disappearance time of gross hematuria were counted, and the pain relief was compared between the two groups. Results: Three days after surgery,the pain relief in the observation group was better than that in the control group,the difference being significant(P< 0.05). The NRS scores in the two groups were decreased gradually after surgery(P<0.05),and the NRS scores at 4 h,12 h, 24 h and 48 h in the observation group were lower than those in the control group(P<0.01). The highest NRS score within seven days after surgery in the observation group was lower than that in the control group(P<0.01); the relief time of lumbago and the disappearance time of gross hematuria were shorter than those in the control group(P<0.01). Within seven days after surgery,the incidence of renal colic and the calculi drainage rate in the observation group were higher than those in the control group, the number of residual stones was less, and the nursing satisfaction was higher, differences being significant(P<0.05). Conclusion: Based on the conventional interventions, the additional application of auricular point pressing with beans, dietary guidance and acupuncture can promote the drainage of calculi, reduce the residual calculi, effectively relieve postoperative pain,shorten the course of disease,and improve the comprehensive therapeutic effect of ESWL.

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汪静娜.中医特色护理措施联合常规医护措施干预尿路结石体外冲击波碎石术后疗效分析[J].新中医,2020,52(22):145-148

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  • 在线发布日期: 2020-11-27
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