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目的探讨肾绞痛的治疗方法及其疗效。方法 2000年8月至2005年8月收治肾绞痛患者220例,随机分为常规组:108例,应用杜冷丁50 mg 和阿托品0.5 mg 肌注治疗;硫酸镁组:112例,用25%硫酸镁10 ml+10%葡萄糖100 ml 缓慢静推,用时20 min,再用25%硫酸镁20 ml+10%葡萄糖500 ml 持续静点,速度控制在30～40 gtt/min。单盲对照观察疗效。结果硫酸镁组治疗肾绞痛缓解时间为17±7 min,治愈时间为25±9 min,无效3例,再发作2例;常规组分别为28±10 min、42±12 min、18例、28例。结论硫酸镁治疗肾绞痛临床效果满意,值得推广。
Objective To investigate the treatment of renal colic and its efficacy. Methods From August 2000 to August 2005, 220 patients with renal colic were randomly divided into routine treatment group (108 cases), pethidine (50 mg) and atropine (0.5 mg) intramuscularly. Magnesium sulfate group (n = Magnesium sulfate 10 ml + 10% glucose 100 ml slow static push, with time 20 min, then 25% magnesium sulfate 20 ml + 10% glucose 500 ml sustained static point, the speed control at 30 ~ 40 gtt / min. Single blind control efficacy. Results The cure time of renal colic in magnesium sulfate group was 17 ± 7 minutes, the healing time was 25 ± 9 minutes, 3 cases were ineffective, and 2 cases were re-attacked. The conventional group were 28 ± 10 min, 42 ± 12 min, 18 cases, 28 cases. Conclusion Magnesium sulfate treatment of renal colic satisfactory clinical results, it is worth promoting.