医学临床研究
  2025年6月15日 星期日           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2018, Vol. 35 Issue (11): 2136-2137    DOI: 10.3969/j.issn.1671-7171.2018.11.019
  论 著 本期目录 | 过刊浏览 | 高级检索 |
利多卡因治疗顽固性肾绞痛的临床疗效
盛斌, 刘俊, 易丹
中国人民解放军第九二一医院暨湖南师范大学第二附属医院,湖南 长沙 410003
Clinical Study of Lidocaine in the Treatment of Refractory Renal Colic
SHENG Bin, LIU Jun, YI Dan
The 921th Hospital of PLA, The second Affiliated Hospital, of Hunan Normal University, Changsha, Hunan,410003,China
全文: PDF (0 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】探讨使用利多卡因治疗顽固性肾绞痛的临床疗效。【方法】选择2016 年2月至2018 年2月在本院明确诊断为肾绞痛,使用非内固醇抗炎药,平滑肌解痉药镇痛药后视觉模拟评分法(VAS)疼痛评分仍大于8分的80例肾绞痛患者。所有患者随机分为利多卡因组和芬太尼组,各40例。记录比较两组患者在注射利多卡因和芬太尼后10、20、30 min的VAS疼痛评分。【结果】两组患者使用药物前的VAS疼痛评分相比较差异无显著性;在注射药物后两组患者均能缓解疼痛、但在注射后10、20、30min利多卡因组的VAS评分均比芬太尼组更低,且两组相比较差异均有显著性(P<0.05)。【结论】利多卡因和芬太尼两种药物均能有效缓解肾绞痛,但利多卡因起效更快、价格便宜,效果更好,副作用小,值得临床推广。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
盛斌
刘俊
易丹
关键词 绞痛/治疗肾疾病/治疗利多卡因/投药和剂量    
Abstract:【Objective】To investigate the clinical efficacy of lidocaine in the treatment of refractory renal colic in the emergency department. 【Methods】A total of 80 patients with renal colic whose VAS pain scores were still greater than 8 points after receiving non-steroidal anti-inflammatory drug and the smooth muscle spasm analgesic were selected from the emergency department in our hospital from February 2016 to February 2018, . All patients were randomly divided into lidocaine group and fentanyl group, with 40 cases in each group. The VAS pain scores were recorded and compared at the time of admission and at 10,20,and 30 minutes after injection of lidocaine and fentanyl, respectively. 【Results】There was no significant difference in VAS pain scores between the two groups at the time of admission. Patients in both groups were able to relieve pain at 10,20, and 30 minutes after the injection. However, the VAS score was lower in the lidocaine group than in the fentanyl group. There was a statistical difference between the two groups (P<0.05). 【Conclusion】Both lidocaine and fentanyl are effective in relieving renal colic, but lidocaine has a faster onset, lower cost, better effect, and fewer side effects, which is worthy of clinical promotion.
Key wordsColic/TH    Kidney Diseases/TH    Lidocaine/AD
收稿日期: 2018-08-14     
PACS:  R692  
引用本文:   
盛斌, 刘俊, 易丹. 利多卡因治疗顽固性肾绞痛的临床疗效[J]. 医学临床研究, 2018, 35(11): 2136-2137.
SHENG Bin, LIU Jun, YI Dan. Clinical Study of Lidocaine in the Treatment of Refractory Renal Colic. JOURNAL OF CLINICAL RESEARCH, 2018, 35(11): 2136-2137.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2018.11.019     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2018/V35/I11/2136
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn