双氯芬酸利多卡因在体外冲击波碎石术中的效果

Effect of Diclofenac Lidocaine in Extracorporeal Shock Wave Lithotripsy

目的探讨双氯芬酸利多卡因注射液在体外碎石术中应用提高结石排出率的临床效果。方法选择2015年10月—2018年3月我院收治的90例输尿管结石患者,分别予以体外冲击波碎石术,依照患者是否应用双氯芬酸钠利多卡因注射液随机将其分为对照组(n=45)与试验组(n=45),对照组单纯术后口服坦索罗辛缓释胶囊联合尿石通丸,试验组施以双氯芬酸利多卡因注射液肌注,观察两组患者治疗前与治疗后2周的疼痛视觉模拟(VAS)评分变化情况与结石排出率。结果治疗前,两组患者的VAS评分差异无统计学意义(P> 0.05);治疗后2周,试验组的VAS评分为低于对照组,并且其结石排出率高于对照组,差异具有统计学意义(P <0.05)。结论双氯芬酸利多卡因在体外碎石术中应用具有显著效果。

Objective To investigate the clinical effect of diclofenac lidocaine injection in improving stone excretion rate during extracorporeal lithotripsy.Methods From October 2015 to March 2018,90 patients with ureteral calculi were treated with extracorporeal shock wave lithotripsy.According to whether the patients were treated with diclofenac sodium lidocaine injection,they were randomly divided into two groups:control group(n=45)and experimental group(n=45).The control group received postoperative oral tamsulosin sustained-release capsules combined with urinary tong pills,and the experimental group received intramuscular injection of diclofenac lidocaine.Changes in pain visual analogue(VAS)scores before and 2 weeks after treatment in the two groups.The situation and the stone discharge rate were observed.Results Before treatment,there was no significant difference in VAS score between the two groups(P>0.05),and the VAS score of the trial group was significantly lower than that of the control group 2 weeks after treatment,and the stone excretion rate of the trial group was significantly higher than that of the control group(P<0.05).Conclusion Diclofenac lidocaine is effective in extracorporeal lithotripsy.