眼针治疗肾、输尿管绞痛.docVIP

眼针治疗肾、输尿管绞痛文章编号：0255-2930(2007)09-0663-02 中图分类号：R 246．2文献标识码：A临床研究 ［摘 要］ 目的：观察眼针疗法对由输尿管结石引起的肾、输尿管绞痛的治疗效果。方法：将180例患者随机分为眼针组、吗啡组和强痛定组。眼针组90例应用针刺眼穴止痛；吗啡组40例肌肉注射吗啡、阿托品止痛；强痛定组50例肌肉注射强痛定、阿托品止痛。结果：眼针组显效率72．2％，总有效率95．6％；吗啡组显效率45．0％，总有效率77．5％；强痛定组显效率42．0％，总有效率72．0％。眼针组显效率和总有效率均显著高于吗啡组与强痛定组(均P＜0．01)。结论：眼针疗法治疗由输尿管结石引起的肾、输尿管绞痛快速而有效。 ［主题词］ 眼针；绞痛/针灸疗法；输尿管结石/针灸疗法；针刺疗法/方法 Eye acupuncture for treatment of renal and ureteral colic LIN Qiang, HU Yu-lian, HAN Chong-wei, LI Yan (TCM Section, Rizhao City People′s Hospital, Shandong 276826, China) ABSTRACT Objective To observe the therapeutic effect of eye acupuncture on renal and ureteral colic induced by ureterolith. Methods One hundred and eighty cases were randomly divided into an eye acupuncture group (n=90), a Morphine group (n=40) and a Bucinnazine group (n=50). The eye acupuncture group were treated with acupuncture at eye acupoints for killing pain, the Morphine group with intramuscular injection of Morphine and Atropine, and the Bucinnazine group with intramuscular injection of Bucinnazine and Atropine. Results The markedly effective rate and the total effective rate were 72．2% and 95．6% in the eye acupuncture group, 45．0% and 77．5% in the Morphine group and 42．0% and 72．0% in the Bucinnazine group. Both the markedly effective rate and the total effective rate in the eye acupuncture group were significantly higher than those in both the Morphine group and the Bucinnazine group (all P0．01). Conclusion Eye acupuncture therapy is rapid and effective for treatment of renal and ureteral colic induced by ureterolith. KEY WORDS Eye Acupuncture； Colic/am ther； Ureterolithiasis/am ther； Acupuncture Therapy/methods 输尿管结石是临床常见病、多发病，由输尿管结石引起的肾、输尿管绞痛是临床常见的泌尿系急症。2002年1月―2006年12月，笔者应用眼针治疗由输尿管结石引起的肾、输尿管绞痛90例，疗效显著，现总结如下。 1 临床资料 1．1 病例选择 全部肾、输尿管绞痛患者共180例，均经过B超或腹部平片或CT确诊为输尿管结石，并除外由其他疾病引起的肾、输尿管绞痛，除外严重心、肝、肾或其他脏器器质性疾病者，除外妊娠期、哺乳期妇女，除外年龄在18岁以上、65岁以下者。 1．2 分组 180例患者按就诊先后编号，采用随机数字表法分为眼针组、吗啡组和强痛定组。眼针组90例，男47例，女43例；平均