摘要
目的:观察耳穴压豆法联合氟比洛芬酯治疗经皮肾镜取石术后疼痛的临床疗效。方法:采用随机数字表法将90例肾结石行皮肾镜取石术后疼痛患者分为试验组与对照组各45例。对照组给予氟比洛芬酯注射液治疗,试验组在对照组基础上给予耳穴压豆法治疗。比较2组治疗前后视觉模拟评分法(VAS)评分,比较2组术后肠鸣音恢复时间、首次排气时间及首次下床时间等术后恢复情况,并评估2组临床疗效、患者满意度及不良反应发生情况。结果:治疗后,试验组总有效率、患者满意度高于对照组(P<0.05),不良反应发生率低于对照组(P<0.05)。试验组肠鸣音恢复时间、首次排气时间及首次下床时间短于对照组(P<0.05)。治疗后,2组VAS评分均较治疗前降低(P<0.05),且试验组VAS评分低于对照组(P<0.05)。结论:耳穴压豆法联合氟比洛芬酯治疗经皮肾镜取石术后疼痛疗效确切,能有效减轻患者术后疼痛程度,改善胃肠功能,提高患者满意度,安全性较高。
Objective:To observe the clinical effect of auricular point seed-pressing method combined with Flurbiprofen Axetil for pain after percutaneous nephrolithotomy.Methods:A total of 90 cases of patients with pain after percutaneous nephrolithotomy were divided into the trial group and the control group according to the random number table method,with 45 cases in each group.The control group was treated with Flurbiprofen Axetil Injection,and the trial group was additionally treated with auricular point seedpressing method based on the treatment of the control group.The scores of Visual Analogue Scale(VAS)were compared before and after treatment between the two groups.After treatment,the recovery situation including the recovery time of bowel sounds,the first exhaust time,and the time of the first outof-bed activity were compared in the two groups.The clinical effects,patient satisfaction,and incidence of adverse reactions were evaluated between the two groups.Results:After treatment,the total effective rate and patient satisfaction in the trial group were higher than those in the control group(P<0.05),the incidence of adverse reactions was lower than that in the control group(P<0.05).The recovery time of bowel sounds,the first exhaust time,and the time of the first out-of-bed activity in the trial group were shorter than those in the control group(P<0.05).After treatment,the VAS scores in two groups were decreased when compared with those before treatment(P<0.05),and the VAS scores in the trial group at different time points after operation were lower than those in the control group(P<0.05).Conclusion:Auricular point seed-pressing method combined with Flurbiprofen Axetil is effective in the treatment of pain after percutaneous nephrolithotomy,which can effectively reduce the degree of postoperative pain,and improve gastrointestinal function and patient satisfaction,with high safety.
作者
王海波
叶海东
林昌永
朱千三
陈益琦
娄朝胜
虞佳瑜
WANG Haibo;YE Haidong;LIN Changyong;ZHU Qiansan;CHEN Yiqi;LOU Chaosheng;YU Jiayu
出处
《新中医》
CAS
2023年第9期112-115,共4页
New Chinese Medicine
基金
温州市科研项目(20190739)。
关键词
经皮肾镜取石术
疼痛
耳穴压豆
氟比洛芬酯
视觉模拟评分法
Percutaneous nephrolithotomy
Pain
Auricular point seed-pressing
Flurbiprofen Axetil
Visual Analogue Scale
作者简介
王海波(1984-),男,主治医师,E-mail:53593309@qq.com;通信作者:叶海东(1982-),男,硕士,副主任医师,E-mail:2425115094@qq.com。
