丙帕他莫联合间苯三酚在肾绞痛急诊治疗中的疗效分析

Analysis of Curative Effect of Propacetamol Combined with Phloroglucinol in the Emergency Treatment of Renal Colic

目的回顾性分析丙帕他莫和间苯三酚治疗肾绞痛急诊治疗中的疗效及不良反应,探寻治疗急性肾绞痛的最佳方案。方法收集我院急诊科691例急性肾绞痛确诊病例资料,按治疗方法分为四组:A组:间苯三酚,B组:丙帕他莫C组:间苯三酚+丙帕他莫(上述B+A先后依次应用),D组:间苯三酚+丙帕他莫+曲马多。采用视觉模拟评分量表对患者进行治疗前后的疼痛评分,评价治疗效果,并记录不良反应。结果丙帕他莫联合间苯三酚治疗组的有效率高于单独用药组。结论联合使用丙帕他莫和间苯三酚治疗急性肾绞痛可以取得良好的镇痛效果,麻醉性镇痛药的选择可根据患者具体情况选择是否应用。

Objective To analyze the curative effect and adverse reaction of propacetamol combined with phloroglucinol in the emergency treatment of renal colic.Methods The clinical data of 691 patients diagnosed as acute renal colic in our hospital were collected and divided into four groups according to the treatment method： group A： phloroglucinol;group B： propacetamol;group C： propacetamol ＋ phloroglucinol（B ＋ A applied one by one）;group D： phloroglucinol ＋ propacetamol ＋ tramadol.Pain score before and after treatment was evaluated by visual analog scale（VAS）.The curative effect and adverse reactions were record and evaluated.Results The effective rate of group C was higher than that of the other three groups.Conclusions Propacetamol combined with phloroglucinol can obtain good analgesic effect in the treatment of acute renal colic.Narcotic analgesics can be selected according to the specific condition of patients.