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作者所在医院用胃复安(属镇吐及胃肠推动药)治疗泌尿系结石所致绞痛及其他症状,效果较好。方法:结石绞痛的病人即肌注胃复安20mg,其他抗炎、碱化尿液药物继续应用。效果判断:凡肌注胃复安后半小时内绞痛及其他症状消失者为显效;用药半小时绞痛减轻,其他症状亦减轻者为有效;反之无效。30例中症状全部消失27例,恶心、呕吐、尿频、尿痛、绞痛减轻2例,无效1例。总有效率达95%。1例伴尿潴留的病人应用胃复安止痛后自行排小便。可能是该药对抑制脑干网状组织同呕吐功能感觉区域化学受体起作用,调节平滑肌功能产生止痛效果。
The author’s hospital with metoclopan (a town of spit and gastrointestinal drugs) for the treatment of urinary stones cause colic and other symptoms, the effect is better. Methods: Stomatognathic patients that intramuscular injection of metoclopramide 20mg, other anti-inflammatory, alkalinizing urine drugs continue to be applied. The effect of judgment: where intramuscular injection of metformin within half an hour after the disappearance of colic and other symptoms were markedly effective; half an hour to relieve angina medication, other symptoms are also reduced to those who are effective; otherwise ineffective. Twenty-seven of the 30 patients had disappeared symptoms, nausea, vomiting, frequent urination, dysuria, angina were relieved in 2 cases and ineffective in 1 case. The total effective rate of 95%. One patient with urinary retention after application of metoclopramide row of spontaneous urination. May be the drug on the inhibition of brainstem reticular vomiting functional sensory areas of chemical receptors play a role in the regulation of smooth muscle function produce analgesic effect.