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目的探讨酮咯酸氨丁三醇联合间苯三酚对治疗难治性肾绞痛的疗效。方法随机将120例肾绞痛患者分为2组。采用A组酮咯酸氨丁三醇联合间苯三酚治疗难治性肾绞痛与传统B组山莨宕碱联合哌替啶治疗肾绞痛,观察2组起效时间、疼痛缓解率及治疗过程不良反应和疼痛的再发率。结果治疗A组镇痛效果及起效时间均优于B组;A组治疗过程不良反应发生率及疼痛的再发率明显降低,差异有统计学意义。结论酮咯酸氨丁三醇联合间苯三酚治疗肾绞痛是一种高效、安全的镇痛方法,治疗过程不良反应少和疼痛的再发率低,值得临床推广。
Objective To investigate the efficacy of ketorolac tromethamine plus phloroglucinol in the treatment of refractory renal colic. Methods 120 patients with renal colic were randomly divided into two groups. Group A ketorolac tromethamine combined with phloroglucinol in the treatment of refractory renal colic with traditional B group of anisodamine combined with pethidine in the treatment of renal colic, observed the onset time of two groups, the pain relief rate and Adverse reactions and recurrence rates of pain during treatment. Results The analgesic effect and the onset time of treatment group A were better than that of group B. The incidence of adverse reactions and the recurrence rate of pain in group A were significantly lower, the difference was statistically significant. Conclusion Ketorolac tromethamine combined with phloroglucinol is an effective and safe analgesic for renal colic. It has less side effects and low recurrence rate of pain. It deserves clinical promotion.