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双氯芬酸钠联合间苯三酚治疗肾绞痛80例疗效分析
引用本文:李仿敏,李强,胡伟政,曾秀春,陈焕玲.双氯芬酸钠联合间苯三酚治疗肾绞痛80例疗效分析[J].承德医学院学报,2015(4):295-297.
作者姓名:李仿敏  李强  胡伟政  曾秀春  陈焕玲
作者单位:番禺区石碁人民医院急诊科,广东广州,511450
摘    要:目的::比较曲马多、双氯芬酸钠联合间苯三酚治疗急性肾绞痛的疗效。方法:160例肾绞痛患者随机分为2组,每组80例患者,曲马多组采用曲马多肌注和间苯三酚静脉滴注治疗,双氯芬酸钠组采用双氯芬酸钠肌注和间苯三酚静脉滴注治疗。观察两组的疗效,疼痛开始缓解时间、完全缓解时间和不良反应情况。结果:双氯芬酸钠组显效率为92.5%(58/80),明显高于曲马多组(P<0.05)。双氯芬酸钠组疼痛开始缓解时间、疼痛完全缓解时间明显短于曲马多组(P<0.05)。双氯芬酸钠组不良反应发生率明显低于曲马多组(P<0.05)。结论:双氯芬酸钠联合间苯三酚治疗急性肾绞痛疗效确切,值得临床推广应用。

关 键 词:肾绞痛  双氯芬酸钠  曲马多  疗效

ANALYSIS OF THERAPEUTIC EFFECTS FOR TREATING RENAL COLIC WITH DICLOFENAC COMBINED PHLOROGLUCINOL OF 80 CASES
Abstract:Objective:To compare the therapeutic effects for treating renal colic with diclofenac combined phloroglucinol and tramadol combined phloroglucinol. Methods:160 renal colic patients were randomly divided into 2 groups with 80 patients in each group:the patients in diclofenac group were treated with diclofenac intramuscular injection and phloroglucinol intravenous drip;while patients in tramadol group were treated with tramadol intramuscular injection and phloroglucinol intravenous drip. The therapeutic effects, pain began to relieve time and complete response time, as well as adverse reactions of patients in 2 groups were observed. Results:The effective rate of diclofenac group was 92.5%(58/80), which was obviously higher than tramadol group (P<0.05). The pain began to relieve time and complete response time of diclofenac group were all signiifcantly shorter than tramadol group (P<0.05). The adverse reaction rate of diclofenac group was obviously lower than tramadol group (P<0.05). Conclusions:Treating renal colic with diclofenac combined phloroglucinol can get deifnite therapeutic effects, so it is worthy of spreading in clinic.
Keywords:Renal colic  Diclofenac  Tramadol  Therapeutic effect
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