垂直律动治疗促进输尿管结石自然排出作用研究

doi:10.13418/j.issn.1001-165x.2026.5.16

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中国临床解剖学杂志 ›› 2026, Vol. 44 ›› Issue (5) : 615-620. DOI: 10.13418/j.issn.1001-165x.2026.5.16

临床研究

垂直律动治疗促进输尿管结石自然排出作用研究

白文芳¹，曹涧敏², 李伟坤³，谢杉敏⁴，梁京立⁴，李冠群¹，陈武⁵

作者信息 +

Study on the role of whole-body vertical vibration in ureteral calculus excretion

Bai Wenfang¹, Cao Jianmin², Li Weikun³, Xie Shanmin⁴, Liang Jingli⁴, Li Guanqun¹, Chen Wu⁵

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文章历史 +

摘要

目的研究垂直律动治疗在输尿管结石自然排出过程中的有效性与安全性，为输尿管结石治疗提供新的物理治疗方案。方法本研究收录2019年1月至2020年3月在英德市人民医院泌尿外科治疗的144例输尿管结石患者，采用 PEM3.1 软件按照 1∶1 的比例随机将其分为对照组72例和试验组72例，对照组采用常规治疗，试验组在常规治疗基础上加以7 Hz垂直律动训练，统计分析两组患者结石排出时间，排出率及疼痛情况。结果两组患者性别、年龄、结石大小及分布比较，差异均无统计学意义（P>0.05)，试验组1周内、2周内排石有效率分别为54.17%（39/72）和98.61%（71/72），显著高于对照组的19.44%（14/72）和84.72%（61/72），有显著性差异（P<0.01）。试验组结石排出时间明显短于对照组（P<0.05）。在缓解结石疼痛程度上，对比两组疼痛数字评分法（NRS）的得分，试验组排石过程疼痛明显低于对照组，有显著性差异（P<0.05），且试验组律动治疗前后疼痛评分差异有显著统计学意义（P<0.05），两组治疗前疼痛评分的变化对比无统计学差异（P>0.05），无明显不良事件。结论 7 Hz垂直律动治疗可安全有效地促进输尿管结石患者自然排石。

Abstract

Objective To explore the effectiveness and safety of vertical rhythm therapy in the natural discharge process of ureteral stones, so as to provide a new physical therapy plan for ureteral stone treatment. Methods A total of 144 ureteral stone patients treated at the Department of Urology of Yingde People's Hospital from January 2019 to March 2020 were enrolled. Using PEM3.1 software, the patients were randomly divided into a control group (72 cases) and an experimental group (72 cases) in a 1:1 ratio. The control group received conventional treatment, while the experimental group received 7 Hz vertical rhythmic training in addition to standard therapy. Statistical analysis was conducted on the time to stone expulsion, expulsion rate, and pain levels between the two groups. Results There was no statistically significant differences in the comparison of gender, age, stone size, and distribution between the two groups (P>0.05). The stone expulsion efficacy rates within 1 week and 2 weeks in the experimental group were 54.17% (39/72) and 98.61% (71/72), respectively, significantly higher than that of the control group's 19.44% (14/72) and 84.72% (61/72), with a statistically significant difference (P<0.01). The stone expulsion time in the experimental group was notably shorter than that in the control group (P<0.05). In terms of pain relief, the numerical rating scale (NRS) scores showed that the experimental group experienced significantly less pain during stone expulsion compared to the control group (P<0.05). The pain scores before and after rhythmic therapy in the experimental group also showed statistically significant differences (P<0.05). There was no statistically significant difference in pre-treatment pain scores between the two groups (P>0.05), and no adverse events were reported. Conclusions 7 Hz vertical rhythm therapy can promote natural stone discharge in ureteral stones safely and effectively.

导出引用

白文芳, 曹涧敏, 李伟坤, 谢杉敏, 梁京立, 李冠群, 陈武. 垂直律动治疗促进输尿管结石自然排出作用研究[J]. 中国临床解剖学杂志. 2026, 44(5): 615-620 https://doi.org/10.13418/j.issn.1001-165x.2026.5.16

Bai Wenfang, Cao Jianmin, Li Weikun, Xie Shanmin, Liang Jingli, Li Guanqun, Chen Wu. Study on the role of whole-body vertical vibration in ureteral calculus excretion[J]. Chinese Journal of Clinical Anatomy. 2026, 44(5): 615-620 https://doi.org/10.13418/j.issn.1001-165x.2026.5.16

中图分类号： R454.3 R693.4

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