| BackgroundESWL (extracorporeal shock-wave lithotripsy, ESWL) is a non-invasive lithotripsy, but the shock wave through the body density of different organizations will be distributed energy, caused considerable pain, is caused by disruption or lithotripsy failures. ESWL is the major source of pain shock waves through the skin surface caused by pain, followed by the shock wave focus to play around in the kidney organ caused by pain. Gravel is generated when the pain of acute pain, mild to moderate pain, to post the strongest in the rubble. Pain in patients prone to unpleasant feelings or anxiety, leading to inability to concentrate effectively with gravel, and even lead to cardiac sympathetic nerve stimulation increased blood pressure, endocrine hyperactivity, sweating, etc., hinder the rubble after the recovery. ESWL in the clinical guidelines for pain management is still not established. Recognizing urologist can meet the patient during treatment is critical, and practical experience and experience in stone as the basis for pain management, and thus more conducive to the positioning and grinding stones. Therefore, choosing a way to make patient satisfaction and few side effects of pain model is very necessary. Compared with the ESWL in a large number of different research techniques reported pain appears. Shock wave lithotripsy in the commonly used analgesics, including opioids, sedative hypnotics, non-steroidal anti-inflammatory analgesic drugs, and local anesthetic gel, such as EMLA. Although opioids provide effective analgesia, but also brings significant side effects:respiratory depression, bradycardia, hypotension, nausea, vomiting, and the drawbacks of a long recovery time. Part in the ESWL combined with drug use non-drug pain of research, such as:acupuncture acupuncture before surgery, preoperative electroacupuncture stimulation induced by continuous combined surgery, ear acupuncture plus electrical stimulation, acupuncture point injection, patients in the acupuncture, TENS, music, etc.We appear in accordance with ESWL treatment of visceral pain and pain in the body surface, select the acupuncture (EA) combined with local skin treated with Voltaren cream in the treatment of pain in ESWL patients, prevention of stone break, in order to achieve more effective analgesia, thus more conducive to effective rubble. Voltaren present emulsion acupuncture and the treatment of pain in ESWL no application report.ObjectiveIn this study, skin treated with acupuncture and gravel area Voltaren emulsion method to observe this pain model ESWL ESWL in patients receiving the analgesic effect.MethodsThe gravel areas to accept the skin treated with acupuncture and Voltaren cream ESWL analgesia in patients as the target. Study whether this model can achieve better analgesia analgesic effect. Taking into account the kidney and ureter stones difference between this pain model for scientific evaluation of the effect, this research into kidney stones and ureteral stones were observed. Recorded before surgery age, height, weight and medical history, collection may be confounding factors, the variance of recording for future inductive statistics. Instructions to the patient before surgery experimental purposes, content, methods, and seek their consent and sign the consent form will be kidney stones, upper ureteral stones were first divided into two groups by random number table and then each assigned a random sampling of the following six groups. Were:A. Kidney stones three groups:negative control group without analgesia 21 (Uâ… ), intramuscular analgesic tramadol positive control group of 21 people (U-â…¡); acupuncture and pain treated with Voltaren cream treatment group 22 people (U-â…¢). B. Upper ureteral calculi three groups:negative control group without analgesia 25 (RI), intramuscular analgesic tramadol positive control group of 25 (R-â…¡); acupuncture and pain treated with Voltaren cream treatment group 25 (R-â…¢); a total of 139 cases of patients. After gravel were recorded using visual analog scale engraved (VAS) for pain scores during the most painful and the pain satisfaction scores and record.Results1. The single factor analysis of variance, three groups of age difference was statistically significant (P>0.05). Three groups of height difference was statistically significant (P>0.05). Three groups of weight difference was statistically significant (P>0.05). Three groups of between gender differen- ce was statistically significant (P>0.05). Kruskal - by Wallis non-parameter test, three groups of between calculi difference was stati-stically significant (P>0.05). Three groups of shock wave frequency di-fference was statistically significant (P>0.05). Three groups working voltage difference was statis- tically significant (P>0.05). Three groups of gravel time between the di- fference was statistically significant (P> 0.05).2. pain scores, analgesic satisfaction score in the acupuncture and Voltaren cream group and the no analgesia group was significantly different (P<0.05); tramadol group and no analgesia was significantly different between groups (P<0.05). This shows that the pain group than those in clinical practice, pain-free group and allow the patients, ESWL in the treatment group had pain in the lower pain scores and higher satisfaction. Acupuncture and Voltaren cream group and tramadol in pain scores between groups were no significant differences (P> 0.05); acupuncture and Voltaren cream tramadol group and between groups rated their satisfaction at the pain the difference was statistically significant (P<0.05); This indicates that acupuncture combined with Voltaren cream group advantage in the ESWL treatment, patients more likely to accept.3. the number of kidney and ureter group shock, voltage, aggregates were statistically significant differences in time (P<0.05); kidney and ureter group rated their satisfaction with pain relief was significantly different (P<0.05); This shows that the kidney stones than ESWL treatment of pain arising from upper ureteral calculi be obvious, while the parameters used in ESWL than the ureter is higher. Meet the clinical anatomy and the actual situation in the rubble. Statistics showed that kidney stones pain group than ureteral calculi group. Two groups of pain control, group of upper ureteral stones kidney stones better than the group.Conclusion1. The results of this study shows acupuncture combined with outside help he Lin emulsions treatment group than negative control the pain score with music horses low, the control group quite positive; The patient of pain control satisfaction are higher than the control group, and two in statistically significant differences, showing acupuncture combined with outside help he Lin emulsions ESWL intraoperative analgesic action in effect for patients, certainly more acceptable and more smoothly with gravel.2. This research conclusion is:acupuncture combined with outside help he Lin emulsion that can effectively relieve ureteral DuanJieShi and kidney stones on ESWL intraoperative pain, analgesic effect of horses with music better than song horses fairly even group, patients easy to accept, used for the ureteral jodan gravel when the effect is much better. |
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