双氯芬酸钠盐酸利多卡因注射液治疗急性肾绞痛疗效观察.doc

双氯芬酸钠盐酸利多卡因注射液治疗急性肾绞痛疗效观察 　　摘要：目的探讨双氯芬酸钠盐酸利多卡因注射液治疗急性肾绞痛的疗效。方法在超声诊断为单纯性肾窦分离或伴有输尿管结石的肾窦分离的209例急性肾绞痛患者中，采取随机分组方式进行临床治疗观察。治疗组105例用双氯芬酸钠盐酸利多卡因注射液治疗，对照组104例用哌替啶注射液治疗，分别在治疗30、60、120min复诊观察临床症状和体征，进行评定。结果双氯芬酸钠利多卡因注射液治疗组的总有效率为98.1%，高于哌替啶注射液组的总有效率95.19%，经χ2检验，P＜0.05，具有统计学意义。结论双氯芬酸钠盐酸利多卡因注射液治疗急性肾绞痛效果良好。 　　关键词：双氯芬酸钠盐酸利多卡因注射液；哌替啶注射液；急性肾绞痛；疗效比较 　　Analysis of the Effect of Diclofenac Sodium and Lidocaine Hydrochloride Injection in the Treatment of Acute Renal Colic 　　LI Shu-hui 　　(Weishan County People's Hospital,Dali 672400,Yunan,China) 　　Abstract：ObjectiveTo evaluate the efficacy Diclofenac Sodium and Lidocaine Hydrochloride Injection in the treatment of acute renal colic. Methods Isolated for simple renal sinus separation or with ureteral calculi with renal sinus in the ultrasonic diagnosis of 209 cases of acute renal colic patients, randomized way of clinical observation. The treatment group of 105 cases Diclofenac Sodium and Lidocaine Hydrochloride Injection treatment, control use of pethidine injection in the treatment of 104 cases in the treatment group, respectively30,60,120 minutes up to observe the clinical symptoms and signs, evaluation. ResultsDiclofenac Sodium and Lidocaine Hydrochloride Injection total effective rate in treatment group was 98.1%, higher than that of pethidine injection group, the total efficiency of 95.19%, by χ2 test, P< 0.05, with statistical significance. ConclusionDiclofenac Sodium and Lidocaine Hydrochloride Injection good effect of the treatment of acute renal colic. 　　Key words：Diclofenac Sodium and Lidocaine Hydrochloride Injection ; Pethidine injection; Acute renal colic; Curative effect comparison急性肾绞痛是门诊、急诊常见的急腹症之一，大都由结石所致，且大部分发生于输尿管结石，门诊、急诊首要治疗处理措施为镇痛。对于肾绞痛的镇痛处理，长期以来都是采用哌替啶作为标准镇痛方法，随着非甾体抗炎药（NSAIDs）的临床使用越来越多，非甾体抗炎药NSAIDs中的双氯芬酸钠成为2005年欧洲泌尿学会指南中首推的镇痛药。现将我院门诊、急诊209例经超声诊断为单纯性肾窦分离或伴有输尿管结石的肾窦分离的急性肾绞痛患者的镇痛治疗进行对比观察，报告如下。 　　1资料与方法 　　1.1一般资料选择2012年3月~2013年3月到我院门诊、急诊就诊符合上述诊断标准的急性肾绞痛患者209例，年龄16~90岁，男110例，女99例，全身无系统性疾病、无过敏史及禁忌症。按就诊顺序随机分成治疗组和