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目的:评价特拉唑嗪联合双氯芬酸钠治疗输尿管下段单发小结石的临床效果。方法:输尿管下段结石患者随机分成两组:治疗组45例,特拉唑嗪2 mg/d,双氯芬酸钠25 mg/次,2次/d;对照组32例,654-2 10 mg(或阿托品0.5mg)肌内注射。观察结石排出率、排出时间、强止痛剂使用率、不良反应。结果:两组在结石排出率、排出时间、强止痛剂使用率方面比较差异有统计学意义(P<0.05)。结论:特拉唑嗪联合双氯芬酸钠能提高排石率,缩短排石时间,减少镇痛剂的使用。
Objective: To evaluate the clinical effect of terazosin and diclofenac sodium in the treatment of single small ureteral calculi. Methods: The patients with lower ureteral calculi were randomly divided into two groups: treatment group 45 cases, terazosin 2 mg / d, diclofenac sodium 25 mg / time 2 times / d, control group 32 cases 654-2 10 mg (or atropine 0.5 mg) intramuscularly. Observation of stone discharge rate, discharge time, strong analgesic use rate, adverse reactions. Results: There was significant difference between the two groups in stone discharge rate, discharge time and strong analgesic usage (P <0.05). Conclusion: Terazosin combined with diclofenac sodium can improve the rate of stone discharge, shorten the row of stone time, reduce the use of analgesics.