Application of Traditional Chinese Medicine Five-Element Music Therapy Combined With Acupoint Patch Therapy Based on the "Holistic Mind-Body Treatment" Theory in Upper Urinary Tract Calculi Treated With Ureteroscopic Lithotripsy Under Local Anesthesia

Application of Traditional Chinese Medicine Five-Element Music Therapy Combined With Acupoint Patch Therapy Based on the "Holistic Mind-Body Treatment" Theory in Upper Urinary Tract Calculi Treated With Ureteroscopic Lithotripsy Under Local Anesthesia

This study aims to evaluate whether the combination of Traditional Chinese Medicine Five-Element Music Therapy and acupoint patch therapy can effectively reduce intraoperative pain and anxiety in patients undergoing ureteroscopic lithotripsy for upper urinary tract calculi under local anesthesia, compared to conventional local anesthesia alone.

Inclusion Criteria:

1. Age 18 years or older.
2. Computed tomography confirmed diagnosis of upper urinary tract calculi.
3. Stone size less than 2 cm in maximum diameter.
4. Scheduled to undergo primary ureteroscopic lithotripsy.
5. Normal hearing ability.
6. Willing and able to provide written informed consent.

Exclusion Criteria:

1. Congenital malformation of the urinary system
2. History of allergy to local anesthetics
3. Mental disorder that precludes cooperation with the surgical procedure
4. Uncontrolled urinary tract infection before surgery
5. Pregnancy
6. Pre-existing chronic pain syndrome or long-term use of analgesic medications
7. Long-term use of anti-anxiety medications -