首页|不同药物治疗远端输尿管结石合并肾绞痛疗效比较

不同药物治疗远端输尿管结石合并肾绞痛疗效比较

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目的 探讨坦索罗辛、硝苯地平控释片和地奥司明联合坦索罗辛治疗远端输尿管结石合并肾绞痛的效果.方法 回顾性分析2018年4月至2023年4月远端输尿管结石合并肾绞痛436例患者的临床资料,按不同药物治疗方式分为坦索罗辛组、硝苯地平控释片组和地奥司明联合坦索罗辛组(联合药物组),比较3组患者28 d内结石排出率、排石时间、镇痛剂使用量、不良事件发生率.结果 治疗后,硝苯地平控释片组排石率最低(75%),排石时间最长(189.9 h),双氯芬酸钠缓释片使用剂量最大(248 mg);联合药物组排石率最高(90%),排石时间最短(107.2 h),双氯芬酸钠缓释片使用剂量最小(65 mg).此外,3种方法治疗后的不良事件均<10%.结论 坦索罗辛、硝苯地平控释片和地奥司明联合坦索罗辛均能有效治疗远端输尿管结石合并肾绞痛,地奥司明联合坦索罗辛治疗效果更好.
Objective To investigate the therapeutic efficiencies of tamsulosin hydrochloride sustained release capsule,nifedipine controlled-release tablet and diosmin tablet combined with tamsulosin hydrochloride sustained release capsule on distal ureteral calculi and nephric colic.Methods The clinical data of 436 patients from Lanxi People's Hospital with distal ureteral stones and nephric colic were collected from April 2018 to April 2023.Three medical pharmaceuticals,including tamsulosin hydrochloride sustained release capsule,nifedipine controlled-release tablet and diosmin tablet combined with tamsulosin hydrochloride sustained release capsule,were chosen to study the therapeutic efficiency for distal ureteral calculi and nephric colic,while the indexes of stone expulsion rate,stone expulsion time and the average dosage of diclofenac sodium suppository in 28d were used for evaluation.Results After the application of the three medical pharmaceuticals,the lowest rate of stone expulsion rate(75%)and the longest time required for stone expulsion(189.9h)were found in the nifedipine controlled-release tablet group,and the average dose of diclofenac sodium suppository was the highest(248 mg),whereas the highest rate of stone expulsion(90%)and the shortest time required for stone expulsion(107.2 h)were found in the combination drug group,and the average dose of diclofenac sodium suppository was the lowest(65 mg).In addition,the adverse events after treatment were less than 10%for all 3 treats.Conclusion Three medical pharmaceuticals are all effective for the treatment of distal ureteral stones and nephric colic,however,diosmin tablet combined with tamsulosin hydrochloride sustained release capsule is the optimal pharmaceuticals for curing distal ureteral calculi.

Distal ureteral calculiNephric colicTherapeutic efficiencyDiosmin tablet combined with tamsulosin hydrochloride sustained release capsule

徐水、胡俊杰、许晓源、童高寅、陈跃军

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321100 浙江省兰溪市人民医院

远端输尿管结石 肾绞痛 疗效 地奥司明联合坦索罗辛联合药物

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(1)
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