复方利多卡因乳膏联合间苯三酚在体外冲击波碎石中的疗效评价  

The effect of compound lidocaine cream combined with phloroglucinol on stone removal and analgesic effect in extracorporeal shock wave lithotripsy

作　　者：王颖慧[1] 高同斌[2] 孟哲 冀永健[2] WANG Yinghui;GAO Tongbin;MENG Zhe;JI Yongjian(Outpatient Department of Urology Lithotripsy Center,Weifang People's Hospital,Weifang 261041,China;Department of Urology,Weifang People's Hospital;Department of Surgery,Shandong Second Medical University)

机构地区：[1]潍坊市人民医院泌尿外科碎石中心,山东潍坊261041 [2]潍坊市人民医院泌尿外科 [3]山东第二医科大学外科学教研室

出　　处：《潍坊医学院学报》2024年第1期30-32,共3页Acta Academiae Medicinae Weifang

基　　金：潍坊市卫生健康委员会项目(项目编号:WFWSJK-2022-119)。

摘　　要：目的 评价复方利多卡因乳膏联合间苯三酚在泌尿系结石体外冲击波碎石(ESWL)治疗中镇痛及排石的疗效。方法 选择符合ESWL治疗标准的120例上尿路结石患者为研究对象,随机分为观察组和对照组,每组60例;比较两组患者治疗前后及治疗过程中的相关指标,评估疼痛评分(VAS),观察术后并发症发生率及结石清除率。结果 观察组术中VAS评分显著低于对照组,术后1、4、12周的结石清除率高于对照组(P<0.05);与对照组相比,观察组血压、心率、血氧更平稳(P<0.05)。结论 术前30min接受复方利多卡因乳膏和间苯三酚联合干预,可显著提高接受ESWL治疗的患者对疼痛的耐受,改善碎石疗效,增加安全性,值得临床推广。Objective To investigate the effect of compound lidocaine cream combined with phloroglucinol on stone removal and analgesic effects in patients with urinary tract stones during extra-corporeal shock wave lithographs,and to evaluate its safety and effectiveness.Method One hundred and twenty patients diagnosed with upper urinary tract stones and eligible for extra-corporeal shock wave lithographs(ESWL) treatment were randomly divided into an observation group and a control group.Compare the changes in relevant indicators before and during treatment between the two groups,evaluate the pain scale(VAS),and observe postoperative complications and stone clearance rate.Result During the lithograph treatment process,the VAS score of the observation group patients was significantly lower than that of the control group(P<0.05),and the stone clearance rate of the observation group patients at 1,4,and 12 weeks after surgery was significantly higher than that of the control group.The blood pressure,heart rate,and blood oxygen remained stable during the lithograph process in the observation group.Conclusion The use of compound lidocaine cream combined with phloroglucinol 30 minutes before ESWL in patients with urinary tract stones can significantly improve the analgesic effect,improve the lithograph efficiency and stone clearance rate,and reduce the occurrence of complications.It is worthy of clinical promotion.

关 键 词：复方利多卡因乳膏 间苯三酚 泌尿系结石 体外冲击波碎石术 镇痛 

分 类 号：R691.4[医药卫生—泌尿科学]