Torres FG, Brito HB, Barbier RA, Iglesias CM

Language: Spanish
References: 18
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ABSTRACT

Introduction: antispasmodics and relaxants of smooth muscle fiber are usually used as a treatment for nephritic colic, but since the 90's many studies support the use of nonsteroidal antiinflammatory drugs (NSAIDs) as best treatment option for the symptomatic relief of it.
Objective: to assess the effectiveness of diclofenac sodium in the treatment of nephritic colic.
Methods: an observational, descriptive, longitudinal, retrospective study was performed in 54 patients who attended the Emergency Service of "Leopoldito Martinez" General Teaching Hospital, in San José de las Lajas municipality, Mayabeque for exhibiting nephritic colic and who were treated with diclofenac sodium, in the period from January 2010 to February 2011.
Results: 57.4 % of the patients were between 31 and 40 years old, 83.3 % were males, in 75.6 % it was found microscopic hematuria in partial urinalysis and in the abdominal ultrasound it was confirmed reno-ureteral lithiasis in 62.5 % and mild pyelocaliectasis in 12.5 %. The evolution of pain in patients was assessed prior and subsequent to intramuscular administration of diclofenac sodium through the Visual Analogue Scale (VAS). Where it was noted that in the highest percentage of patients there was a significant decrease in pain, whose average length of stay in hospital was 37.5 minutes after medication administration.
Conclusions: the use of diclofenac sodium has good effectiveness in the treatment of nephritic colic.

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