布比卡因局部阻滞治疗输尿管结石所致肾绞痛60 例的临床观察

目的:比较药物治疗与布比卡因局部阻滞治疗输尿管上段结石所致的肾绞痛的临床疗效。方法:选择输尿管结石患者共120例。随机分成药物治疗组(M组)与局部阻滞组(B组)各60例,其中药物治疗组采用杜冷丁加阿托品治疗,局部阻滞组采用布比卡因行痛区局部阻滞,两组年龄、性别均无统计学差异,比较两组患者治疗的总有效率、不良反应、镇痛起效时间、缓解时间等疗效指标。结果:局部阻滞组治疗的总有效率大于药物治疗组,不良反应也比药物治疗组少。疼痛起效时间及缓解时间,局部阻滞组均明显短于药物治疗组。结论:布比卡因局部阻滞治疗输尿管上段结石所致的肾绞痛临床疗效明显优于以杜冷丁加阿托品为代表的药物治疗。

The Clinic Observation of 60 Cases of Bupivacaine Local Block Treatment in the Renal Colic Caused by Upper Ureteral Stones

Objective: To compare the clinical efficacy of the drug treament way and the bupivacaine local block way in the patients with renal colic caused by upper ureteral stones.Methods: 120 patients with upper ureteral stones were randomly divided into drug treament group(Group D) and bupivacaine local block group(Group B) of each 60 cases.Group D were treated with pethidine plus atropine treatment,and Group B were treated with bupivacaine local block in pain regionl.There were no significant differences in the two groups in age and gender.The total efficiency,adverse reactions analgesic onset time,pain relief time of the two groups of patients were analyzed.Results: Group B have more advantages than the group D in the total efficiency,adverse reactions,analgesic onset time and pain relief time.Conclusion: The bupivacaine local block group is superior to the pethidine plus atropine as the representative of drug treatment group in the renal colic cases caused by upper ureteral stones.