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目的:观察地塞米松联合解痉镇痛药治疗急性肾绞痛的临床疗效。方法:将急性肾绞痛患者108例随机分为对照组(n=53)和观察组(n=55),对照组予双氯灭痛及阿托品肌肉注射,观察组在对照组治疗基础上加用地塞米松静脉滴注,比较两组镇痛效果。结果:观察组较对照组镇痛效果显著(P<0.05),且3小时内复发率明显降低(P<0.01)。结论:地塞米松联合解痉止痛药治疗急性肾绞痛疗效确切,建议临床推广应用。
Objective: To observe the clinical efficacy of dexamethasone combined with antispasmodic analgesics in the treatment of acute renal colic. Methods: One hundred and eighty patients with acute renal colic were randomly divided into control group (n = 53) and observation group (n = 55). The control group was given intraperitoneal injection of diclofenac and atropine. The observation group was treated with dexamethasone Intravenous infusion, analgesic effect of two groups were compared. Results: The analgesic effect of the observation group was significantly higher than that of the control group (P <0.05), and the recurrence rate was significantly lower within 3 hours (P <0.01). Conclusion: dexamethasone combined antispasmodic analgesic treatment of acute renal colic is effective, it is recommended clinical application.