Study On The Effect Of Second Metacarpal Acupoint Pressure On Renal Colic Caused By Upper Urinary Tract Stones Based On Holographic Theory

ObjectiveBased on holographic theory,Patients with renal colic caused by upper urinary tract stones were selected for the intervention.To explore the intervention effect of the second metacarpal side acupoint sticking on renal colic caused by upper urinary tract stones,and evaluate its practicability and effectiveness.To provide new ideas andstrategies for clinical care,and to provide a practical basis for the synergistic analgesic model of Chinese and Western medicine.Methods1.A randomized controlled trial was used to select 108 patients with renal colic caused by upper urinary tract stones.According to the random number table,the patients were divided into observation group and control group,with 54 patients in each group.Both groups were given routine treatment and nursing,including drug treatment,ear point sticking,disease observation,emotional care,diet care,urination care,exercise guidance and health education.The observation group was given second metacarpal point sticking on this basis.2.Observe and record the VAS score,effective rate of pain relief,onset time of pain relief,time of complete pain relief,number of pain recurrence and adverse reactions within24 hours,serum cortisol and comfort score of patients in the two groups before and after the intervention.SPSS25.0 was used to statistically analyze the collected data and compare the nursing intervention effects of the two groups of patients.Results1.Comparison of baseline data between the two groups: before intervention,there was no statistically significant difference between the two groups in terms of age,sex,nature of work,educational background,stone location and size,pain location,VAS score,serum cortisol and comfort score(P>0.05).2.Comparison of VAS scores in the two groups:(1)Intra-group comparison: VAS scores of patients in the two groups decreased gradually at 0.5h,1h and 2h after intervention,indicating that the two groups of intervention measures can alleviate the pain degree of patients.(2)Comparison between groups: There was no statistically significant difference in VAS score between the two groups at 0.5h after intervention(P>0.05),and the effect was not obvious due to the shorter time of acupoint stimulation.The VAS score of the two groups at 1 hour after intervention was significantly different(P<0.05).There was no significant difference in VAS scores between the two groups at 2 hours after intervention(P>0.05).3.Comparison of the effective rates of pain relief between the two groups: After taking different intervention measures,the pain degree of the two groups was improved.After 0.5 h of intervention,the effective rates of the observation group and the control group were 93.33% and 88.89%,After 1 h of intervention,the effective rates of the observation group and the control group were 97.78% and 95.56%,The difference between the two groups was statistically significant(P<0.05).After 2 hours of intervention,the effective rate of analgesia in both groups was 100%,but the number of complete remission in the observation group was more than that in the control group.It shows that the analgesic effect of the observation group is better than that of the control group.4.Comparison of the onset time of analgesia and the time of complete pain relief between the two groups: The observation group has significant effect in shortening the onset time of analgesia and the time of complete pain relief,with significant difference(P<0.05).5.Comparison of the number of pain recurrence and adverse reactions within 24 hours between the two groups: The observation group has obvious effect in reducing the frequency of pain recurrence and adverse reactions,and the difference is statistically significant(P<0.05).6.Comparison of serum cortisol between the two groups:(1)Intra-group comparison:comparison of serum cortisol between the two groups before and after intervention,both groups after intervention were lower than that before intervention,the difference was statistically significant(P<0.05).(2)Inter-group comparison: compared with the serum cortisol of the two groups after intervention,the observation group had no obvious advantage in reducing serum cortisol,and the difference was not statistically significant(P>0.05).7.Comparison of comfort scores between the two groups:(1)Intra-group comparison:the comfort scores of the two groups before and after the intervention were significantly higher than those before the intervention(P<0.05).(2)Inter-group comparison: compared with the comfort scores of patients in the two groups after intervention,the observation group had a significant effect in improving the comfort scores,and the difference was statistically significant(P<0.05).ConclusionUnder the guidance of holographic theory,the application of the second metacarpal point sticking and pressing to patients with renal colic caused by upper urinary tract stones can help reduce the VAS score,improve the effective rate of pain relief,shorten the onset time and complete relief time of pain relief,reduce the number of pain recurrence and adverse reactions,and improve the comfort of patients.The clinical effect of the second metacarpal point sticking and pressing on renal colic in patients with upper urinary tract stones is significant,and the analgesic method of Chinese and Western medicine is worthy of clinical promotion and application.