| 坦索罗辛和硝苯地平治疗远端输尿管结石的疗效比较 |
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| 引用本文： | 廖泽明,王超,陈志强,叶章群.坦索罗辛和硝苯地平治疗远端输尿管结石的疗效比较[J].现代中西医结合杂志,2011,20(9):1046-1047,1050. |
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| 作者姓名： | 廖泽明 王超 陈志强 叶章群 |
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| 作者单位： | 1. 湖北省荆门市第一人民医院,湖北,荆门,448000
2. 华中科技大学同济医学院附属同济医院,湖北,武汉,430030 |
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| 摘 要： | 目的比较坦索罗辛与硝苯地平治疗末端输尿管结石的排石效果。方法将输尿管末端结石患者112例随机分成2组,坦索罗辛组59例,采用坦索罗辛联合应用抗生素(喹诺酮类)和必要的镇痛药物(双氯芬酸钠栓塞肛或加用度冷丁)治疗,硝苯地平组53例采用硝苯地平联合应用抗生素和必要的镇痛药物治疗。以结石排出或治疗随访满28 d作为疗效观察终点。结果与硝苯地平组比较,坦索罗辛组排石率显著提高,排石速度明显加快,使用镇痛药物的次数显著减少,接受住院或输尿管镜治疗的人数明显减少。而在排出结石的直径和药物的不良反应方面,2组比较没有显著性差异。结论坦索罗辛治疗输尿管末端结石有较高的排石成功率,缩短了排石时间,降低了肾绞痛的发生几率,能改善患者的生活质量,减少对住院或接受输尿管镜治疗的需求,适合输尿管末端结石患者的家庭治疗。
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| 关 键 词： | 坦索罗辛 硝苯地平 输尿管结石 |
Comparison of therapeutic effect of tamsulosin and nifedipine in treatment of distal ureteral calculus |
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| Liao Zeming,Wang Chao,Chen Zhiqiang,Ye Zhangqun.Comparison of therapeutic effect of tamsulosin and nifedipine in treatment of distal ureteral calculus[J].Modern Journal of Integrated Chinese Traditional and Western Medicine,2011,20(9):1046-1047,1050. |
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| Authors: | Liao Zeming Wang Chao Chen Zhiqiang Ye Zhangqun |
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| Institution: | Liao Zeming1,Wang Chao1,Chen Zhiqiang2,Ye Zhangqun2 (1.The First People's Hospital of Jingmen,Jingmen 448000,Hubei,China,2.Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China) |
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| Abstract: | Objective It is to evaluate the clinical effect of tamsulosin and nifedipine in the treatment of distal ureteral stones.Methods 112 patients with distal ureteral calculus were randomly divided into 2 groups.In study group,59 cases were treated with tamsulosin 0.4 mg daily plus antibiotic(quinolones) and pain-killer(diclofenac sodium or pethidine).In control group,53 cases were treated with nifedipine slow-release 20 mg daily in addition to the same drugs as used in study group.Ultrasound or radiology follow... |
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| Keywords: | tamsulosin nifedipine ureteral calculus |
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