| 刘功海吴世东曾国华欧长伟范翰文何小鹏.布比卡因局部阻滞治疗输尿管结石所致肾绞痛60 例的临床观察[J].,2012,12(4):704-706 |
| 布比卡因局部阻滞治疗输尿管结石所致肾绞痛60 例的临床观察 |
| The Clinic Observation of 60 Cases of Bupivacaine Local Block Treatment inthe Renal Colic Caused by Upper Ureteral Stones |
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| DOI： |
| 中文关键词: 输尿管结石 布比卡因 肾绞痛 |
| 英文关键词: Ureteral stones Bupivacaine Renal colic |
| 基金项目:治疗组优于瑞巴派特组和胃复春组，联合治疗组治疗前后血液流变学变化差异有统计学意义( P < 0.01)。结论: 联合应用胃复春和 |
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| 中文摘要: |
| 目的：比较药物治疗与布比卡因局部阻滞治疗输尿管上段结石所致的肾绞痛的临床疗效。方法：选择输尿管结石患者共120
例。随机分成药物治疗组（M 组）与局部阻滞组（B 组）各60 例，其中药物治疗组采用杜冷丁加阿托品治疗，局部阻滞组采用布比
卡因行痛区局部阻滞，两组年龄、性别均无统计学差异，比较两组患者治疗的总有效率、不良反应、镇痛起效时间、缓解时间等疗
效指标。结果：局部阻滞组治疗的总有效率大于药物治疗组，不良反应也比药物治疗组少。疼痛起效时间及缓解时间，局部阻滞组
均明显短于药物治疗组。结论：布比卡因局部阻滞治疗输尿管上段结石所致的肾绞痛临床疗效明显优于以杜冷丁加阿托品为代
表的药物治疗。 |
| 英文摘要: |
| Objective: To compare the clinical efficacy of the drug treament way and the bupivacaine local block way in the
patients with renal colic caused by upper ureteral stones. Methods: 120 patients with upper ureteral stones were randomly divided into
drug treament group(Group D) and bupivacaine local block group(Group B) of each 60 cases. Group D were treated with pethidine plus
atropine treatment, and Group B were treated with bupivacaine local block in pain regionl. There were no significant differences in the
two groups in age and gender. The total efficiency, adverse reactions analgesic onset time, pain relief time of the two groups of patients
were analyzed. Results: Group B have more advantages than the group D in the total efficiency, adverse reactions, analgesic onset time
and pain relief time. Conclusion: The bupivacaine local block group is superior to the pethidine plus atropine as the representative of drug
treatment group in the renal colic cases caused by upper ureteral stones . |
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