双氯灭痛治疗肾输尿管绞痛３０例繁峙县中医院（０３４３００）郝锐肾输尿管绞痛是外科常见的一种急腹症，一般常用止痛、解痉药物治疗。我院从１９９１年１０月以来应用新型非激素强效消炎镇痛药物“双氯灭痛”治疗肾输尿管绞痛３０例，并与同期收治的２１例应用传统药物度冷丁＋阿托品治疗进行对比，效果良好，现报告如下：资料和方法从１９９１年１０月到１９９３年７月，我院共收治（住院或留观）肾输尿管绞痛病人５１例。其诊断标准为。①有典型的肾输尿管绞痛症状。②疼痛发作时取尿液常规化验，均有程度不同的红细胞。③其中３５例做了腹部Ｘ线平片，１６例做了Ｂ超检查，有３９例证实或可疑肾输尿管结石，１２例无阳性发现。按随机法将病人分为二组，分别采用不同的药物治疗。双氯灭痛组３０例，男２１例，女９例，年龄１９～４９岁，平均３４．５岁。采用双氯灭痛针剂７５ｍｇ肌注，或用双氯灭痛栓剂１００ｍ直肠给药，嘱患者１小时内不能排便。度冷丁十阿托品组２１例，男１５例，女６例，年龄２５～５１岁。采用度冷丁５０ｍｇ＋阿托品０．５ｍｇ肌注。结果我们将治疗结果分为：①显效；绞痛在１小时内完全消失或基本消失。②有效；绞痛在１小时内减轻；主要症状部分缓解。③无效；疼痛在１ Diclofenac Treatment of 30 cases of renal ureteral colic Fanshi Hospital of Traditional Chinese Medicine (034300) Hao Rui Renal urinary incontinence is a common surgical acute abdomen, commonly used analgesic, antispasmodic drug treatment. In our hospital from October 1991 since the application of a new non-hormones potent anti-inflammatory analgesic drug “Diclofenac” in the treatment of 30 cases of renal ureteral colic, and with the same period of treatment of 21 cases of conventional drug treatment of cold Ding + atropine compared with good results, Report is as follows now: Materials and Methods From October 1991 to July 1993, 51 cases of renal urinary tract colic (hospitalization or hospital stay) were treated in our hospital. The diagnostic criteria for. ① typical renal ureteral colic symptoms. ② take a routine laboratory tests of pain, have different degrees of red blood cells. ③ 35 cases had X-ray abdomen, 16 cases had B-ultrasound, 39 cases confirmed or suspicious renal ureteral calculi, 12 cases without positive findings. Randomized patients were divided into two groups, respectively, using different drug treatment. Diclofenac group of 30 patients, 21 males and 9 females, aged 19 to 49 years, mean 34.5 years old. Diclofenac injection of 75mg intramuscular injection, or diclofenac suppository 100m rectal administration, Zhu Huanzhe patients can not defecation within 1 hour. Degrees of cold Ding atropine group of 21 patients, 15 males and 6 females, aged 25 to 51 years. The use of cold D 50mg + atropine 0.5mg intramuscular injection. Results We will treat the results are divided into: ① markedly effective; colic completely disappeared within 1 hour or disappeared. ② effective; angina reduced within 1 hour; the main symptoms were partially relieved. ③ invalid; pain in 1