Clinical Observation On Auricular Point Sticking Therapy Controlling The Double-J Tube Placement Common Complications

BackgroundDouble-J tube, also known as double-pigtail tube or ureteral stent, because both ends of the coil, named after the pigtail shape at each end. Because of its two core support and the role of internal drainage, indwelling ureteral stents has become the routine treatment of urinary tract surgery. Double-J tube placement time there is no unified standard, is generally believed that, depending on the situation lien surgery 4-6 weeks. In this period of time with a tube, most patients will appear a series of double-J tube placement complications, that is, low back pain, urinary frequency and urgency, urinary tract infection, double J stent migration or loss, fever. Indwelling double-J tube on patients with upper and lower urinary tract urodynamic examination also found that adjuvant therapy as a foreign media, resulting in many adverse effects. Thus, while the use of double-J tube, controlling and reducing the complications caused by it has become the focus of this study. Auricular point sticking therapy is important in the treatment of Traditional Chinese Medicinal methods. Choosing the suitable acupuncture point on the ear to carry on the oppression stimulation, dispels symptoms such as bloating the blood circulation, to dredge the channels and collaterals, to strengthen the body's natural resistance and remove harmful factors, can play the role which is the unique pain-relieving and treating stranguria. It has no trauma, non-toxic side effects, the advantages of lasting effect, simple operation, and low price, conforming to the Chinese medicine to initiate it "inexpensively Jan, then, the effect", has the greatly strengthened clinical use value.Purpose The study is to Evaluate the clinical curative effect of the treatment, that is, auricular point sticking therapy controlling double-J tube placement complications, and prepare for more in-depth research of urological perioperative auricular point treatment. In the summary clinical effective acupuncture point on the ear prescription's foundation, further develops its application scope and action mechanism's discussion. Hope these to urological perioperative therapy provides the new research methods and ideas.MethodThis study included 50 patients, all from Guangzhou University of Chinese Medicine, Second Affiliated Hospital of Urology in-patients, with the diagnosis of ureteral calculi or kidney stones. Patients were hospitalized ureteroscopic lithotripsy (URL) or percutaneous nephrolithotomy surgery (PCNL), routine postoperative indwelling double-J tube. Test subjects were randomly divided into 25 cases of auricular therapy group and control group,25 patients (all subjects during the study successfully completed the trial), and ear treatment group 6 hours after sticking in accordance with the established prescription Pressing Vaccaria seeds; control group be the corresponding analgesic, antispasmodic medication. Two experimental groups observed after 30 days in low back pain, urinary frequency and urgency Symptom score, compares the effectiveness of two treatment programs.Result1. Auricular treatment group and control group 15 days after symptoms of low back pain scores showed no significant difference (P=0.261>0.050), showed that two groups of control measures on the situation of low back pain is similar. Meanwhile, the ear treatment group and control group during the low back pain in 15-30 days after symptom scores were significantly different (P=0.026<0.050), auricular therapy were significantly better than the control group.2. Auricular treatment group and control group 30 days after symptoms of urinary frequency and urgency score was no significant overall difference (P> 0.050), two groups of similar treatment. But the auricular treatment group moderate above symptom accounts for the ratio first half of the month, the latter half respectively is 9/25,2/25, but around the control group moderate symptom ratio half a month respectively is 8/25, 5/25. Because the sample size is limited, but still did not remove the auricular treatment group frequent micturition urgency of urination symptom improvement situation to surpass the control group to moderate above the possibility.3. Safety Monitoring:The two treatment groups in the course of the study showed no obvious local or systemic adverse reactions, that auricular point sticking therapy is safe and effective, non-toxic side effects.ConclusionClinical observations show that:It is a effective method to use the auricular point sticking therapy to prevent and control the double-J tube placement complications. The therapy can improve the low back pain, may have some effects on postoperative obvious lower urinary tract symptoms, therefore, to improve the quality of life of patients with western use reduce corresponding.