通腑法对结石性肾绞痛结石排出影响及临床观察.pdfVIP

组，具有统计学意义，P O．05。总有效率比较，A组和B组间无统计学差异，A组 优于C组有统计学意义。 天。经统计学分析，A组排石率优于B组及C组，A组平均排石时间短于B组及C组， 具有统计学意义，P O．05。 明显低于B组及C组，具统计意义，P O．05。 ⑤不良反应方面：C组有一例病人在镇痛过程中出现反复恶心呕吐，给予灭吐灵 止呕处理后可缓解，C组另有一例病人在止痛过程中，出现腹胀加重，轻度腹痛，无 压痛及反跳痛，排除急腹症，患者要求解大便，给予开塞露纳肛后，排便后腹胀减轻。 A组有一例病人服用通淋排石合剂后出现腹泻，4次／天，为稀烂便，无腹痛及血便。 调整用量至15mL bid，腹泻消失。其余病人无明显不良反应。 结论： ①大便干结或便秘可能是肾绞痛发病的一个病因，并加重肾绞痛的疼痛程度。需 要临床进一步研究。 ②通腑法可以促进结石排出，缩短结石排出时间，有效防止疼痛复发，值得临床 应用。 关键词： 通腑法；结石性肾绞痛：临床观察 ofcaICUIUSofrenaI reI methodintreatment Throughieving i on COI i candC|ini caI researchandcl j ni cal observat itieof andWestern MediCiRe inicaI Ohinese Integrative Speoiatity：Cl DiSCiPI JunNan Author：Du Jun Tutor：Professor Wang Abstract ive ObJecti intreatmentofstoneofthe theevaluationon method Through relieving curativeeffectofrenalcolic．Clear methodof clinical throughrelieving theinfluenceof etc． calculous compound eduction，prevent Methods of of thefirstaffiliated university 1 tocollect hospitalguangzhou andthe andthe department TOMmale inpatientemergency urologyoutpatient calculi total 2013to 2014 with sex，a from diagnosedurinary August February renal inthestandard ．54patients of54 with colic included patients intothree tablemethodwere divided tothe random randomly digital according of18 A，B，C ，groupspeople．． groups group onset three of time course ， 2 Of age，gender，pain groupspatients andSOoncarriesonthe diameter，stones painseverity orheavy and statisticaltest P 0．05，nosignificantdifference，comparable． two treatment：thewasdividedinto andthe experiment stages， 3 Group oneweek medical tocollect thefirst for history．Mainly stage collecting onsetof theonsetofrenalcolic defecatesituationandthe before patients second oftreatment move of phase phase， bowels，presenceconstipation．The intotwo and rowof divided aspects，analgesiasubsequent western ofthree were solution standard treatment groupsgiven byanalgesic for：tramadol mgim ，0．9％sodium medicinetreatment，solutioninjection too 50 of chloride 250 mg VD．scopol