论文部分内容阅读
目的:探讨多组合镇痛药冶疗肾绞痛的前景和方向。方法:从2013年6月到2015年6月医院门诊急诊科病房中调取363例肾绞痛患者病历,分成A、B、C组。A组使用盐酸曲马多注射液肌注,山莨菪碱静脉滴注;B组使用双氯酚酸钠利多卡因肌注,间苯三酚静脉滴注;C组使用酮咯酸氨丁三醇肌注,间苯三酚静脉滴注,以上3组病例均使用抗生素进行抗炎治疗。根据急诊科医生和护士的记录观察病人使用不同组合药物止痛效果、不良反应。结果:有效率A组70.65%,B组85.12%,C组93.99%;不良反应发生率A组84.78%,B组19.83%,C组13.33%。结论:B组和C组是较为理想的治疗肾绞痛的组合,镇痛效果好、不良反应小。
Objective: To explore the prospect and direction of multi-combination analgesics in the treatment of renal colic. Methods: From June 2013 to June 2015, 363 patients with renal colic were recruited from hospital outpatient emergency department wards and divided into A, B and C groups. In group A, intramuscular injection of tramadol hydrochloride and intravenous injection of anisodamine were used. In group B, intraperitoneal injection of diclofenac sodium and lidocaine was given intravenously. In group C, ketorolac tromethamine Intramuscular injection of phloroglucinol intravenously, the above three groups of patients were treated with anti-inflammatory antibiotics. According to the record of emergency department doctors and nurses to observe the patient using different combinations of analgesic effect, adverse reactions. Results: The effective rate in group A was 70.65%, in group B 85.12% and in group C 93.99%. The incidence of adverse reactions was 84.78% in group A, 19.83% in group B and 13.33% in group C, respectively. Conclusion: B and C groups are the ideal combination of treatment of renal colic, analgesic effect is good, the adverse reaction is small.