针刺配合化瘀排石汤治疗气滞血瘀型肾结石疗效观察

摘要

Objective To investigate the clinical efficacy of acupuncture plus Huayu Paishi Decoction (stagnation- eliminating and stone-removing decoction) in treating nephrolithiasis of qi and blood stagnation type.Methods Sixty patients with nephrolithiasis of qi and blood stagnation type were randomly allocated to treatment and control groups, 30 cases each. The treatment group received acupuncture plus oral administration of Huayu Paishi Decoction and the control group, oral administration of Huayu Paishi Decoction alone. The symptoms and signs were scored and renal hydrops was measured in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups. Results The total efficacy rate was 76.7% in the treatment group and 56.7% in the control group; there was a statistically significant difference between the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in the symptom and sign scores in the two groups (P<0.05). There were statistically significant differences in pre-/post-treatment symptom and sign score difference values between the treatment and control groups (P<0.05). There was a statistically significant pre-/post-treatment difference in renal hydrops volume in the treatment group (P<0.05). There was a statistically significant difference in pre-/post-treatment renal hydrops volume difference value between the treatment and control groups (P<0.05).Conclusions Acupuncture plus Huayu Paishi Decoction is an effective way to treat nephrolithiasisi of qi and blood stagnation type. It can markedly improve the clinical symptoms and reduce renal hydrops in the patients.%目的：观察针刺配合化瘀排石汤治疗气滞血瘀型肾结石的临床疗效。方法将60例气滞血瘀型肾结石患者随机分为治疗组和对照组，每组30例。治疗组采用针刺配合化瘀排石汤治疗，对照组采用单纯口服化瘀排石汤治疗。观察两组治疗前后症状、体征积分及肾脏积液量的变化情况，并比较两组临床疗效。结果治疗组总有效率为76.7%，对照组为56.7%，两组比较差异具有统计学意义(P＜0.05)。两组治疗后症状、体征积分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗前后症状、体征积分差值与对照组比较，差异具有统计学意义(P＜0.05)。治疗组治疗后肾脏积液量与同组治疗前比较，差异具有统计学意义(P＜0.05)。且治疗组治疗前后肾脏积液量差值与对照组比较，差异具有统计学意义(P＜0.05)。结论针刺配合化瘀排石汤是一种治疗气滞血瘀型肾结石的有效方法，能明显改善患者临床症状，减轻肾脏积液。