首页|艾灸联合索利那新对输尿管软镜碎石术后双J管相关并发症的影响

艾灸联合索利那新对输尿管软镜碎石术后双J管相关并发症的影响

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目的:探讨艾灸与索利那新联合应用治疗输尿管软境碎石术后双J管相关并发症及附管结石的临床效果。方法:将100例输尿管软境碎石术后置入双J管的上尿路结石患者随机分为对照组(50例)和观察组(50例)。两组患者均给予常规护理及抗感染、镇痛等对症治疗。对照组患者术后第1天开始给予索利那新口服治疗,观察组在此基础上加以对关元和气海进行艾灸。记录并评估治疗前、第1个疗程结束后、第2个疗程结束后3个时间节点两组患者USSQ评分表中6个部分的评分变化,输尿管软境碎石术术后4周,对拔除双J管后的结石清除率、附管结石的总有效率、尿路感染和血尿情况进行比较。结果:第2个疗程结束后,与治疗前比较,两组患者排尿症状、疼痛、整体健康情况、工作表现评分均降低(P<0。05)。第1、2个疗程结束后,与对照组比较,观察组患者排尿症状、疼痛、整体健康情况评分、工作表现均降低(P<0。05)。观察组患者结石清除率、附管结石的总有效率高于对照组(P<0。05)。结论:艾灸联合索利那新治疗输尿管软境碎石术后双J管相关症状及双J管附管结石形成疗效显著,安全性好,无不良反应。
Effect of Moxibustion combined with Solifenacin on Complications Related to Double J Tube After Flexible Ureteroscopic Lithotripsy
Objective:To investigate the clinical effect of the combination of moxibustion and solifenacin in the treatment of double J tube-related complications and tubular stones after retrograde intrarenal surgery.Methods:A total of 100 patients with upper urinary tract stones who were placed in double J tubes after retrograde intrarenal surgery were divided into control group(50 patients)and observation group(50 patients).Both groups were given symptomatic treatments such as routine nursing,anti-infection,and analgesia.The control group was given oral treatment with solifenacin on the first postoperative day.On this basis,the observation group performed moxibustion on Guanyuan(RN 4)and Qihai(RN 6).The changes in the scores of six parts of the USSQ score scale in the two groups were recorded and evaluated before treatment,after the end of the first course of treatment,and after the end of the second course of treatment,and the stone clearance rate after the removal of the double J tube,the total effective rate of stones attached to the tube,urinary tract infection,hematuria and the use of analgesic suppositories were compared 4 weeks after retrograde intrarenal surgery.Results:After the second course of treatment,compared with the pre-treatment period,the urinary symptoms,pain,overall health and work performance scores of the two groups were reduced(P<0.05).After the first and second courses of treatment,compared with the control group,the scores of urination symptoms,pain,overall health and work performance in the observation group were decreased(P<0.05).The stone clearance rate and the total effective rate of attached stones in the observation group were higher than those in the control group(P<0.05).Conclusion:Moxibustion combined with solifenacin has significant efficacy in the treatment of double J tube-related symptoms and double J tube attached tube stone formation after retrograde intrarenal surgery,with good safety and no adverse reactions.

upper urinary tract stonesdouble J tube related complicationsmoxibustionretrograde intrarenal surgerysolifenacinattached tube stone

张誉、陈浩、陈明琪、王志民、赵润璞

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河南中医药大学第一附属医院,河南 郑州 450099

上尿路结石 双J管相关并发症 艾灸 逆行肾内输尿管镜碎石术 索利那新 附管结石

河南省中医药科学研究专项课题

2023ZY2050

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(8)