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目的:观察急性结石性肾绞痛在急诊科的快速综合镇痛处理效果。方法:对223例急诊科接诊的急性结石性肾绞痛患者给于肌注黄体酮、静滴山莨菪碱和维生素K1及舌下含服消炎痛等药物镇痛,选择性体外冲击波碎石(ESWL)镇痛处理。结果:药物镇痛有效率为92%(205/223),药物镇痛+ESWL镇痛有效率为98%(218/223)。结论:急性结石性肾绞痛在急诊科快速综合镇痛处理可明显减轻患者痛苦,经济有效,效果满意,为进一步除石等处理提供了可行性。
Objective: To observe the rapid comprehensive analgesic effect of acute lithogenic renal colic in emergency department. Methods: A total of 223 patients with acute calculus of renal colic who were admitted to the emergency department were treated with intramuscular injection of progesterone, anisodamine and vitamin K1, and sublingual indomethacin. Analgesia with selective extracorporeal shock wave lithotripsy (ESWL) analgesic treatment. Results: The effective rate of drug analgesia was 92% (205/223). The analgesic effect of drug analgesia + ESWL was 98% (218/223). Conclusion: The rapid and comprehensive analgesic treatment of acute lithogenic renal colic in emergency department can reduce the suffering of patients obviously, and is economical and effective with satisfactory results, which provides the possibility of further stone removal and other treatments.