首页|右旋布洛芬栓对输尿管结石所致肾绞痛的临床疗效研究

右旋布洛芬栓对输尿管结石所致肾绞痛的临床疗效研究

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目的 探究右旋布洛芬栓对输尿管结石所致肾绞痛的临床疗效及安全性。方法 选取64例确诊为输尿管结石所致肾绞痛患者,以随机数字表法分为对照组和观察组,每组 32 例。两组均给予氢溴酸山莨菪碱治疗,在此基础上,对照组给予双氯芬酸钠栓治疗,观察组给予右旋布洛芬栓治疗。比较两组患者临床疗效、症状缓解时间(疼痛开始缓解时间、疼痛完全缓解时间)、血清中炎症因子[血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)]、不良反应发生情况。结果 对照组总有效率为 96。88%,观察组总有效率为 90。63%。两组患者临床总有效率比较无统计学差异(χ2=1。067,P=0。302>0。05)。对照组疼痛开始缓解时间为(18。73±3。12)min,观察组疼痛开始缓解时间为(12。67±2。91)min,两组相比具有统计学差异(t=8。035,P=0。000<0。05)。对照组疼痛完全缓解时间为(34。12±3。04)min,观察组疼痛完全缓解时间为(24。62±4。81)min,两组相比具有统计学差异(t=9。444,P=0。000<0。05)。与治疗前相比,两组患者治疗后血清中IL-6、TNF-α、IL-1β水平均明显降低(P<0。05);治疗后,与对照组的(4。67±0。37)、(20。01±2。01)、(2。86±0。15)pg/ml相比,观察组血清中IL-6(4。10±0。15)pg/ml、TNF-α(16。25±3。17)pg/ml、IL-1β(2。11±0。17)pg/ml显著降低(P<0。05)。两组患者不良反应发生率比较无统计学差异(χ2=0,P=1>0。05)。结论 对于输尿管结石所致肾绞痛患者应用右旋布洛芬栓在疼痛症状改善、降低机体炎症反应方面优于双氯芬酸钠栓,且安全性可控,值得临床推广。
Clinical efficacy study of dexibuprofen suppositories on renal colic caused by ureteral calculus
Objective To explore the clinical efficacy and safety of dexibuprofen suppositories on renal colic caused by ureteral calculus.Methods 64 patients diagnosed with renal colic caused by ureteral calculus were divided into a control group and an observation group by random number method,with 32 cases in each group.Both groups were treated with anisodamine hydrobromide.On this basis,the control group was treated with diclofenac sodium suppository,and the observation group was treated with dexibuprofen suppositories.Patients in both groups were compared in terms of clinical efficacy,symptom relief time(time for pain relief,time for complete pain relief),serum inflammatory factors[serum interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β)],and the occurrence of adverse reactions.Results The total effective rate was 96.88%in the control group and 90.63%in the observation group.There was no significant difference in the total clinical effective rate between the two groups(χ2=1.067,P=0.302>0.05).The time for pain relief in the control group was(18.73±3.12)min,and that in the observation group was(12.67±2.91)min;there was a statistically significant difference between the two groups(t=8.035,P=0.000<0.05).The time for complete pain relief in the control group was(34.12±3.04)min,and that in the observation group was(24.62±4.81)min;there was a statistically significant difference between the two groups(t=9.444,P=0.000<0.05).Compared with before treatment,the serum levels of IL-6,TNF-α and IL-1β in both groups were significantly decreased after treatment(P<0.05).After treatment,the observation group had serum IL-6 of(4.10±0.15)pg/ml,TNF-α of(16.25±3.17)pg/ml and IL-1β of(2.11±0.17)pg/ml,which were significantly decreased compared with(4.67±0.37),(20.01±2.01)and(2.86±0.15)pg/ml in the control group(P<0.05).There was no significant difference in incidence of adverse reactions between the two groups(χ2=0,P=1>0.05).Conclusion For patients with renal colic caused by ureteric calculus,the application of dexibuprofen suppositories is better than diclofenac sodium suppositories in improving the pain symptoms and reducing the inflammatory response of the body,and the safety is controllable,which is worthy of clinical promotion.

Ureteral calculusRenal colicDexibuprofen suppositoriesDiclofenac sodiumInflammatory factors

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350200 福州市长乐区人民医院泌尿外科

输尿管结石 肾绞痛 右旋布洛芬栓 双氯芬酸钠 炎症因子

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(11)