摘要
肾结石是泌尿外科的常见疾病,逆行肾内输尿管软镜手术(RIRS)康复期需重点关注术后泥沙样结石的排出及与之相关的疼痛、血尿等症状。穴位敷贴是中医治疗肾结石的经典方式之一,以肾结石患者为研究对象,通过比较常规康复结合穴位敷贴对RIRS术后康复期的影响,旨在评价穴位敷贴在RIRS术后康复期的应用价值。评价指标包括:拔管时间、结石清除率、排石症状中医证候积分、血清C-反应蛋白(CRP)、预后生活质量Croog评分等。结果显示:常规康复结合穴位敷贴组的拔管时间、排石症状中医证候积分、CRP低于对照组,术后2周的结石清除率、Croog评分高于常规康复对照组,说明肾结石RIRS术后康复期进行穴位敷贴可加速排石、改善排石症状,促进炎症水平及预后功能的恢复。
Renal stones are a common disease in urology.During the rehabilitation period of retrograde renal ureteroscopic surgery(RIRS),it is very important to focus on the postoperative eradication of the sediment like stones and related symptoms,such as pain and hematuria.Acupoint application is one of the classic methods for treating kidney stones in traditional Chinese medicine.This study aims to compare the effects between the routine rehabilitation and acupoint application in patients with kidney stones and evaluate the application value of acupoint application in the recovery period after RIRS.Indicators include the postoperative extubation time,stone clearance rate,traditional Chinese medicine syndrome score of stone eradication,serum C-reactive protein(CRP),Croog score for prognosis quality of life,etc.The results showed that the stone extubation time,traditional Chinese medicine syndrome score,and CRP of the acupoint application group were lower than those of the control group.The stone clearance rate and Croog score at 2 weeks after surgery were higher than those of the control group,indicating that using acupoint application during the postoperative recovery period of renal stone RIRS can accelerate the extubation process,improve the extubation-related symptoms,and promote the recovery of inflammation level and patient's prognostic function.
作者
方强
杨立杰
杨洋
FANG Qiang;YANG Lijie;YANG Yang(Department of Urology Surgery,Beijing First Hospital of Integrated Chinese and Western Medicine,Beijing 100026,China)
出处
《科技导报》
CSCD
北大核心
2023年第23期100-105,共6页
Science & Technology Review
关键词
肾结石术后康复
术后拔管时间
结石清除率
穴位敷贴
腧穴
预后生活质量
postoperative rehabilitation of kidney stones
postoperative extubation time
stone clearance rate
acupoint application
acupoints
prognostic quality of life
作者简介
方强,副主任医师,研究方向为泌尿系统结石、前列腺增生,电子信箱:doctorfang0409@126.com。
