目的研究静脉应用利多卡因治疗肾绞痛的效果。方法分析急诊肾绞痛患者122例。其中A组64例应用利多卡因300mg+654-210mg+9%氯化钠500ml静脉滴注;B组58例应用强痛定100mg+654-210mg肌内注射。结果A组疼痛完全消失36例,疼痛缓解20例,无效4例;B组疼痛完全消失10例,疼痛缓解12例,无效改为其他方法治疗36例。两组治疗方法对患者无不良影响。结论利多卡因+654-2联用是比较理想的肾绞痛解痉、止痛方案,无不良反应,安全有效。 Objective To study the effect of intravenous lidocaine on renal colic. Methods 122 cases of emergency renal colic were analyzed. Among 64 cases in group A, lidocaine 300mg + 654-210mg + 9% sodium chloride 500ml was used for intravenous infusion; in group B, 58 cases were given intramuscular injection of 100mg + 654-210mg. Results A group of pain disappeared completely in 36 cases, 20 cases of pain relief, 4 cases ineffective; B group of pain disappeared completely in 10 cases, pain relief in 12 cases, ineffective to other methods to treat 36 cases. Two groups of treatment methods have no adverse effect on the patients. Conclusions Lidocaine + 654-2 is the ideal antispasmodic and analgesic solution for renal colic. It has no adverse reactions and is safe and effective.