CAJ | 학술논문

目的：探讨地佐辛联合间苯三酚缓解急性肾绞痛患者疼痛的效果观察及护理方法。方法：将急性肾绞痛患者120例按数字随机法分为 A 组、B 组和 C 组，每组40例。A 组肌内注射地佐辛5 mg，B 组静脉滴注间苯三酚80 mg，C 组肌内注射地佐辛5 mg 后静脉滴注间苯三酚80 mg。三组治疗前后均给予相应的护理。比较三组疗效、疼痛缓解情况、6 h 内疼痛复发情况、不良反应和并发症发生情况及患者对治疗和护理效果的满意度。结果：C 组疗效显著的患者比例和治疗有效率分别为52.5%和97.5%，均高于A 组的35%和92.5%和 B 组的32.5%和92.5%，差异有统计学意义（p ﹤0.05）。与 A 组和 B 组比较，C 组治疗后6h 内疼痛复发率降低（p ﹤0.05）。C 组治疗后10 min、30 min、60 min、120 min 和6 h 的 VAS 评分均较治疗前降低，A 组治疗后30 min、60 min 和120 min 的 VAS 评分均较治疗前降低，B 组治疗后60 min 和120 min 的 VAS 评分均较治疗前降低，且 C 组治疗后30 min、60 min、120 min和6h 的 VAS 评分均较 A 组和 B 组降低（p ﹤0.05）。A 组、B 组和 C 组总不良反应和并发症发生率均为7.50%，三组总不良反应和并发症发生率比较差异无统计学意义（p ﹥0.05）。与 A 组和 B 组比较，C 组患者对治疗和护理效果的满意度提高（p ﹤0.05）。结论：地佐辛联合间苯三酚治疗并给予相应的护理可有效缓解急性肾绞痛患者的疼痛症状，不良反应和并发症发生率低且患者满意度高，值得临床推广使用。
목적：탐토지좌신연합간분삼분완해급성신교통환자동통적효과관찰급호리방법。방법：장급성신교통환자120례안수자수궤법분위 A 조、B 조화 C 조，매조40례。A 조기내주사지좌신5 mg，B 조정맥적주간분삼분80 mg，C 조기내주사지좌신5 mg 후정맥적주간분삼분80 mg。삼조치료전후균급여상응적호리。비교삼조료효、동통완해정황、6 h 내동통복발정황、불량반응화병발증발생정황급환자대치료화호리효과적만의도。결과：C 조료효현저적환자비례화치료유효솔분별위52.5%화97.5%，균고우A 조적35%화92.5%화 B 조적32.5%화92.5%，차이유통계학의의（p ﹤0.05）。여 A 조화 B 조비교，C 조치료후6h 내동통복발솔강저（p ﹤0.05）。C 조치료후10 min、30 min、60 min、120 min 화6 h 적 VAS 평분균교치료전강저，A 조치료후30 min、60 min 화120 min 적 VAS 평분균교치료전강저，B 조치료후60 min 화120 min 적 VAS 평분균교치료전강저，차 C 조치료후30 min、60 min、120 min화6h 적 VAS 평분균교 A 조화 B 조강저（p ﹤0.05）。A 조、B 조화 C 조총불량반응화병발증발생솔균위7.50%，삼조총불량반응화병발증발생솔비교차이무통계학의의（p ﹥0.05）。여 A 조화 B 조비교，C 조환자대치료화호리효과적만의도제고（p ﹤0.05）。결론：지좌신연합간분삼분치료병급여상응적호리가유효완해급성신교통환자적동통증상，불량반응화병발증발생솔저차환자만의도고，치득림상추엄사용。
Objective Ti investigate the pain relieving effect if dezicine jiint phliriglucinil treating patients with acute renal cilic pain and its nursing methids. Method 120 patients with acute renal cilic pain were divided inti griup A,griup B and griup C by digital randim methid,40 cases in each griup. Griup A adipted muscle injectiin if 5 mg dezicine,griup B adipted intravenius drip 80 mg if phliriglucin-il,and griup C adipted intravenius drip 80 mg if phliriglucinil after muscle injectiin if 5 mg dezicine. The three griups were given cirre-spinding nursing. Curative efficacy,pain relief,6 h pain relapse cinditiin,adverse reactiin and cimplicatiins iccurrence,and patient's satis-factiin fir treatment and nursing effect if the 3 griups were cimpared. Results Significant curative effect rate and tital effective rate if griup C were 52. 5% and 97. 5% respectively,which were higher than the 35% and 92. 5% if griup A and the 32. 5% and 92. 5% if griup B,and the difference was statistically significant(p ﹤0. 05). Cimpared with griup A and griup B,6 h pain recurrence rate if griup C after treatment was liwer(p ﹤0. 05). VAS scire if griup C 10 min,30 min,60 min,120 min and 6 h after treatment was reduced than that if befire treat-ment;VAS scire if griup A 30 min,60 min and 120 min after treatment was reduced than that if befire treatment;And VAS scire if griup B 60 min and 120 min if after treatment was liwer than that if befire treatment;VAS scire if griup C 30 min,60 min,120 min and 6 h after treatment were liwer than that if the griup A and griup B(p ﹤0. 05). Tital adverse reactiin and cimplicatiin rates if griup A,griup B and griup C were 7. 5% ,7. 5% and 7. 5% respectively,and difference between tital adverse reactiin and cimplicatiin rates if three griups had ni statistical significance(p ﹥0. 05). Cimpared with griup A and griup B,patient's rate with satisfactiin fir treatment and nursing effect if griup C patients were higher(p ﹤0. 05). Conclusion Dezicine jiint phliriglucinil treatment and cirrespinding nursing is wirthy if clinical primitiin,it can effectively alleviate the pain symptims if patients with acute renal cilic symptims with causing few adverse reactiin and cimplicatiin and inducing high patient satisfactiin.