口服利多卡因处理内科急性上腹痛的临床研究

Clinical Study of Lidocaine Solution on Acute Epigastirc Pain in Internal Medicine

目的:研究口服利多卡因在诊断及治疗内科急性上腹痛的应用价值。方法:对有内科急性上腹痛症状的92例患者给予口服1％利多卡因溶液10～15ml,观察(1)该方法对不同病变部位的止痛效果。(2)该方法与一般解痉剂止痛效果的比较。(3)该方法的不良反应。结果:该方法对食管至十二指肠病变的止痛效果明显优于非食管至十二指肠的病变(P<0.05);对一般解痉剂治疗无效的病例亦有良好止痛效果。无严重不良反应。结论:口服利多卡因在处理内科急性上腹痛中有较为突出的优点,值得临床推广使用。

Purpose: To investigate the influence of lidocaine solution treatment on the curative effects in internal medicine of acute epigastric pain patients. Methods: According to oraling lidocaine solution( 10-15 ml), 92 cases were received observistion: (1) the efficacy of relieving pain on vary lesion parts. (2) to compare the efficacy with general antispasmodic. (3) to evaluate the safety of the method. Results: In patients who got lesions from esophagus to duodenal has better efficacy on relieving pain than those who got lesions everywhere except from esophagus to duodenal (P < 0.05). It has better efficacy of relieving pain compare with genaral antispasmodic and its adverse reaction was slight. Conclusion: The finding indicate that lidocaine solution can offer a better diagnositic and therapeutic effect to acute epigastirc pain in internal medicine.