摘要
目的:探讨多组合镇痛药冶疗肾绞痛的前景和方向。方法:从2013年6月到2015年6月医院门诊急诊科病房中调取363例肾绞痛患者病历,分成A、B、C组。A组使用盐酸曲马多注射液肌注,山莨菪碱静脉滴注;B组使用双氯酚酸钠利多卡因肌注,间苯三酚静脉滴注;C组使用酮咯酸氨丁三醇肌注,间苯三酚静脉滴注,以上3组病例均使用抗生素进行抗炎治疗。根据急诊科医生和护士的记录观察病人使用不同组合药物止痛效果、不良反应。结果:有效率A组70.65%,B组85.12%,C组93.99%;不良反应发生率A组84.78%,B组19.83%,C组13.33%。结论:B组和C组是较为理想的治疗肾绞痛的组合,镇痛效果好、不良反应小。
Objective:To explore therapeutic prospect and direction by multiple combinations of analgesics for renal colic.Methods:363cases of renal colic in the outpatient emergency department of the Central Hospital of Jingzhou from June 2013 to June 2015 had been divided into A,B and C groups:intramuscular injection of tramadol hydrochloride combined with intravenous drip of anisodamine for the group A,intramuscular injection of double chlorophenol lidocaine with intravenous drip of phloroglucinol for the group B,and intramuscular injection of ketorolac tromethamine with intravenous drip of phloroglucinol for the group C.The antibiotic anti-inflammatory therapy had been used for the above three groups.According to the records of doctors and nurses in the emergency department effects and adverse reactions of different combinations of analgesics had been observed.Results:The effective rates were 70.65% in the group A,85.12% in the group B and 93.99% in the group C while the incidence rates of adverse reactions were 84.78%in the group A,19.83%in the group B and 13.33% in the group C.Conclusion:The combinations of analgesics for the group B and the group C are of ideal treatment for renal colic with good analgesic effects and less adverse reactions.
关键词
肾绞痛
曲马多
双氯酚酸钠利多卡因
间苯三酚
酮咯酸氨丁三醇
renal colic
tramadol hydrochloride
double chlorophenol lidocaine
phloroglucinol
ketorolac tromethamine
