不同药物联用急诊治疗泌尿系结石疼痛镇痛效果的临床比较  

作　　者：周厚智[1] 王道春[1] 

机构地区：[1]湖北随州市中心医院,441300

出　　处：《中国社区医师（医学专业）》2012年第24期130-131,共2页

摘　　要：目的:通过对228例严重泌尿系结石疼痛治疗的回顾性分析,对3组药物镇痛效果、不良反应进行比较,探寻治疗严重肾输尿管绞痛镇痛的最佳方案。方法:收治严重肾输尿管绞痛患者228例,针对常用的3种联合用药止痛方法:A组用双氯芬酸钠栓+654-2+曲马多;B组用双氯芬酸钠栓+654-2+盐酸丙帕他莫;C组用双氯芬酸钠栓+丁溴东莨菪碱+盐酸丙帕他莫。结果:B、C组20分钟和60分钟显效率和有效率明显高于A组(P<0.05),B、C组无差异。A、B组不良反应明显高于A组(P<0.05)。结论:双氯芬酸钠栓配合丁溴东莨菪碱和盐酸丙帕他莫治疗泌尿系结石所致肾、输尿管严重绞痛起效快、疗效确切,不良反应小。Objective：228 cases of severe pain in the treatment of urinary calculi retrospective analysis,the analgesic effect of three groups of drugs,side effects were compared to explore the treatment of severe colic pain of kidney and ureter best.Methods：diagnosed 228 cases of severe renal colic,ureteral information,hospital commonly used for three kinds of joint pain treatment.Methods：A diclofenac suppository ＋ 654-2B ＋ tramadol ＋ hydrochloride diclofenac suppository ＋ 654-2 ＋ Pa He Mo ＋ Diclofenac suppository C ＋ D ＋ hydrochloride Scopolamine butylbromide.Results：B,C group 20 minutes and 60 minutes was effective and was significantly higher than group A（P 〈 0.05）,B,C group no difference.A,B group of side effects was significantly higher than group A（P 〈 0.05）.Conclusion：diclofenac sodium suppository with small scopolamine bromide and hydrochloric acid C Pa Mok hi s treatment of urinary stones caused by the kidney,ureter rapid onset of severe colic,efficacy,side effects.

关 键 词：泌尿系结石 镇痛 双氯芬酸钠栓 丁溴东莨菪碱 盐酸丙帕他莫 

分 类 号：R277.514[医药卫生—中医学]