Effect of wrist-ankle acupuncture combined with Sanjin Paishi Decoction on stone removal,pain degree and renal function after ureteral flexible lithotripsy
Effect of wrist-ankle acupuncture combined with Sanjin Paishi Decoction on stone removal,pain degree and renal function after ureteral flexible lithotripsy
Objective To observe the effects of wrist-ankle acupuncture combined with Sanjin Paishi Decoction on stone dis-charge,pain degree and renal function after ureteral flexible lithotripsy.Methods From August 2020to February 2023,94patients with kidney stones treated by ureteral soft lithotripsy were divided into two groups.The control group was given antibiotics+aniso-damine hydrobromide after operation,and the observation group was given wrist and ankle acupuncture combined with Sanjin Paishi Decoction on the basis of the control group.The stone discharge,complications,pain degree,TCM syndrome score,renal function and inflammatory factor levels were compared between the two groups.Results The first stone removal time(1.25±0.26)d and stone removal period(13.56±2.17)d in observation group were shorter than those in control group[(1.98±0.31)d and(17.45±2.69)d],and the number of lithotomy times(1.64±0.31)was shorter than that in control group(2.42±0.39).The complication rates of hemorrhage,urinary tract infection,fever and urinary fistula(4.26％)were not significantly different from those of the control group(8.51％)(P＞0.05).The pain degree scores of both groups were decreased at 3d and 7d after treat-ment,and the observation group was lower than the control group(P＜0.05).There were no significant differences in renal func-tion and inflammatory factors between the two groups before treatment(P＞0.05).After treatment,serum creatinine(Scr),24h urinary protein(24h UPro)and urinary kidney injury molecule-1(KIM-1)were decreased in both groups,while hypersensitive C-reactive protein(hs-CRP)and interleukin-10(IL-10)were increased in control group.There was no significant difference in hs-CRP and IL-10between the observation group after treatment and before treatment(P＞0.05).After treatment,renal func-tion and inflammatory factors in observation group were lower than those in control group(P＜0.05).There was no significant difference in TCM syndrome scores between the two groups before treatment(P＞0.05).After treatment,lumbago colic,fixed pain,blood in urine,painful urination,difficult stool and total score of the two groups were reduced,and the TCM syndrome score of the observation group was lower than that of the control group(P＜0.05).Conclusion Wrist and ankle acupuncture com-bined with Sanjin Paishi Decoction can inhibit inflammation,improve renal function and increase the effect of postoperative stone removal after ureteral soft lithotripsy.
关键词
腕踝针/三金排石汤/肾结石/输尿管软镜碎石术/肾功能
Key words
Wrist ankle needle/Sanjin Pai Shi Tang/Kidney stones/Flexible ureteral lithotripsy/Renal function
维普
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