|本期目录/Table of Contents|

[1]徐玉生,夏维木,陈荣剑,等.坦索罗辛加哌替啶治疗肾绞痛61例[J].医学研究与战创伤救治(原医学研究生学报),2011,13(02):128.
 XU Yu-sheng,XIA Wei-mu,CHEN Rong-jian,et al.Treatment of nephrocolic with tamsulosin hydrochloride and meperidine[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(02):128.
点击复制

坦索罗辛加哌替啶治疗肾绞痛61例()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第13卷
期数:
2011年02期
页码:
128
栏目:
出版日期:
2011-03-20

文章信息/Info

Title:
Treatment of nephrocolic with tamsulosin hydrochloride and meperidine
文章编号:
1672-271X(2011)02-0128-03
作者:
徐玉生夏维木陈荣剑叶永峰
335000 江西鹰潭,解放军184医院泌尿外科
Author(s):
XU Yu-sheng XIA Wei-mu CHEN Rong-jian YE Yong-feng
Department of Urology, 184 Hospital of PLA,Yingtan, Jiangxi 335000,China
关键词:
肾绞痛治疗临床研究坦索罗辛
Keywords:
nephrocolic therapeutics clinical research tamsulosin
分类号:
R691.4
DOI:
-
文献标志码:
A
摘要:
目的 评价坦索罗辛与哌替啶联用治疗肾绞痛的效果。方法 按就诊顺序将急性肾绞痛122例随机分为观察组和对照组(每组61例),观察组给予坦索罗辛口服加哌替啶肌内注射,对照组给予阿托品、哌替啶肌内注射,比较两组药物镇痛效果及不良反应。结果 观察组有效58例,无效3例,有效率为95.1%,未见明显不良反应。对照组有效44例,无效17例,有效率为72.1%(P<0.01);心动过速4例,口舌干燥难忍28例,排尿困难7例,出现不良反应的患者予平卧休息、补液、饮水和保留导尿后缓解。观察组显示了较好的镇痛效果而不良反应较小。结论 坦索罗辛加哌替啶治疗急性肾绞痛显效快、缓解率高、不良反应小。
Abstract:
Objective To evaluate the therapeutic effect on nephrocolic with tamsulosin and meperidine. Methods 122 patients with nephrocolic were divided into test and control group (each group had 61 cases). Tamsulosin and pethidine were orally administrated to test group, and atropine and pethidine were administered by intramuscular injection. The effect of relive pain in patients and side effect were compared between two groups. Results 58 cases(95.1%) were remittenced in test group, while 44 cases(72.1%) were in control group (P<0.01). The test group had no severity untoward effects. Conclusions Tamsulosin hydrochloride and meperidine therapia nephrocolic better than atropine and meperidine, because it had the features of high remission rate, fewer dosage, diminutive side effect.

参考文献/References:

[1]张晓斌,高 峪,骆金宗.曲马多联合山莨菪碱静脉滴注治疗肾绞痛的疗效观察[J].中国医师杂志,2004,增刊:255-256.
[2]孙 燕.癌症疼痛处理的基本原则[J].中国肿瘤,1999,8(2):55-56.
[3]叶章群, 邓耀良, 董 诚. 泌尿系结石[M]. 北京: 人民卫生出版社, 2003: 37-50.
[4]那彦群. 中国泌尿外科疾病诊断治疗指南[M]. 北京:人民卫生出版社, 2007: 265-293.
[5]叶章群,易 翔.坦索罗辛在泌尿系结石治疗中的应用[J]. 实用医院临床杂志,2010,7(2): 1-3.
[6]林雨冬,王剑平,王明元. 尿石症基础及诊治研究进展[J],东南国防医药,2009,11(1): 45-46.
[7]Pompeo A, Rosenblatt C, Bertero E,et al. A randomised, double-blind study comparing the efficacy and tolerability of controlled-re- lease doxazosin and tamsulosin in the treatment of benign prostatic hyperplasia in Brazil[J].Int J Clin, 2006, 60(10): 1172-1177.
[8]Agrawal MS, Yadav A, Yadav H, et al.A prospective randomized study comparing alfuzosin and tamsulosin in the management of patients suffering from acute urinary retention caused by benign prostatic hyperplasia[J]. Indian J Urol, 2009,25(4): 474-478.
[9]Ahmed AA,Alsayed AS.Tamsulosin versus alfuzosin in the treatment of patients with distal ureteral stones: prospective, randomized, comparative study[J]. Korean J Urol, 2010, 51(3): 193-197.
[10]Woolley B, Jones J. Use of tamsulosin in patients with urinary calculi to increase spontaneous stone passage[J].Emerg Med J, 2007, 24(10): 725-726.
[11]Griwan MS, Singh SK, Paul H, et al.The efficacy of tamsulosin in lower ureteral calculi[J]. Urol Ann, 2010, 2(2): 63-66.
[12]Hermanns T,Sauermann P,Rufibach K,et al.Is there a role for tamsulosin in the treatment of distal ureteral stones of 7 mm or less?Results of a randomised,double-blind,placebo-controlled trial[J]. Eur Urol,2009,56(3):407-412.
[13]吕家驹,尉立京.坦索罗辛和硝苯地平在输尿管下段结石辅助排石中作用的比较[J].中华泌尿外科杂志,2006,27(9):612-614.
[14]孟 慧,许 勇,羊继平.坦索罗辛并肾石通颗粒治疗输尿管结石30例[J].东南国防医药,2009, 11(5):419.
[15]Sefa R,Hasan E,Ahmet C.Effect of tamsulosin on the number and intensity of ureteral colic in patients with lower ureteral calculus[J]. Int J Urol,2005,12(1):615.
[16]Michel MC,Rosette JJ. Efficacy and safety of tamsulosin in the treatment of urological diseases[J].Expert Opin Pharmacother,2004,5(1):151.

相似文献/References:

[1]邓云,丁惠,居颂光,等.复发性自然流产的病因及治疗现状[J].医学研究与战创伤救治(原医学研究生学报),2013,15(02):167.
[2]李向阳,樊 荣,丁友宏,等.十二指肠营养管外套胃肠引流管在胃瘫患者中的应用[J].医学研究与战创伤救治(原医学研究生学报),2013,15(05):461.[doi:10.3969/j.issn.1672-271X.2013.05.010]
 LI Xiang-yang,FAN Rong,DING You-hong,et al.Application of duodenal nutrition tube jacket gastrointestinal drainage tube in treatment for gastric paralysis after esophagectomy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(02):461.[doi:10.3969/j.issn.1672-271X.2013.05.010]
[3]张智斌,阙镇如,冉 骞,等.低温等离子刀与传统手术治疗会厌囊肿的比较分析[J].医学研究与战创伤救治(原医学研究生学报),2013,15(05):515.[doi:10.3969/j.issn.1672-271X.2013.05.028]
[4]李 鹏,孙星慧,蒋晓明.睾丸胚胎性横纹肌肉瘤1例并文献复习[J].医学研究与战创伤救治(原医学研究生学报),2013,15(05):517.[doi:10.3969/j.issn.1672-271X.2013.05.029]
[5]王峻峰,沈旭峰,袁 挺,等.驻某地军人急腹症的临床分析[J].医学研究与战创伤救治(原医学研究生学报),2013,15(01):68.
[6]徐 健,赵秋良,张维维.成功救治危重症哮喘致呼吸心搏骤停1例[J].医学研究与战创伤救治(原医学研究生学报),2013,15(01):63.
[7]杨林东,周秋明,李 娜.原发性输卵管移行细胞癌1例[J].医学研究与战创伤救治(原医学研究生学报),2012,14(02):128.
[8]梁菁菁,蒋 戚,邹大进.羟氯喹治疗2型糖尿病[J].医学研究与战创伤救治(原医学研究生学报),2012,14(03):267.
[9]齐玉琴,张兴虎,万文辉,等.中老年人多原发癌32例分析[J].医学研究与战创伤救治(原医学研究生学报),2012,14(05):402.
 QI Yu-qin,ZHANG Xing-hu,WAN Wen-hui,et al.Analysis of 32 cases multiple primary carcinomas in the aged[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(02):402.
[10]傅 点综述,薛 松审校.感染性结石的成因及治疗现状[J].医学研究与战创伤救治(原医学研究生学报),2012,14(05):446.

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2011-03-20