2014, Number 1
<< Back Next >>
Revista de Ciencias Médicas de la Habana 2014; 20 (1)
Efficacy of diclofenac sodium and avafortan in the treatment of nephritic colic
Torres FG, Brito HB, Barbier RA, Iglesias CM
Language: Spanish
References: 20
Page: 23-33
PDF size: 260.74 Kb.
ABSTRACT
Introduction: nephritic colic is one of the most frequent reasons for consultation in the emergency services.
Objective: to evaluate the efficacy of diclofenac sodium and avafortan in the treatment of nephritic colic.
Methods: an observational, descriptive, longitudinal, retrospective study was conducted in 90 patients that attended the Emergency Service of "Leopoldito Martinez" General Teaching Hospital of San José de las Lajas municipality, Mayabeque province for presenting with nephritic colic in the period from January 2010 to March 2012. Two groups were established (A and B), those of A, with 45 patients received treatment with sodium diclofenac alone and those of group B, also with 45 patients, with avafortan alone.
Results: 61.1 % of patients were between 31 and 40 years old, males predominated with 84.4 % at 5:1 ratio. The evolution of pain in patients was assessed before and after the intramuscular administration of diclofenac sodium and avafortan administered intravenously, through the Visual Analogue Scale.
Conclusions: Patients treated with diclofenac had better effectiveness in the treatment of nephritic colic when compared to avafortan since it disappeared pain
in less time, with early hospital discharge and fewer adverse reactions.
REFERENCES
Sterrett S, Moore N, Nakada S. Emergency room follow up trends in urolithiasis: single center report. Urology [Internet]. 2009 [citado 15 Mar 2013];73(6). Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19368961
Hermida Pérez JA, Pérez Palmes M, Loro Ferrer JF, Ochoa Urdangarain O, Buduen Núñez A. Cólico nefrítico en el servicio de urgencias: estudio epidemiológico, diagnóstico y etiopatogénico. Arch Esp Urol [Internet]. 2010 Abr [citado 10 Feb 2013];63(3). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0004- 06142010000300003&lng=es
Travaglini F, Bartoletti R, Gacci M, Rizzo M. Pathophysiology of renoureteral colic. Urol Into [Internet]. 2004 [citado 10 Feb 2013];72(1). Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/15133328
Esquena S, Millán F, Sánchez FM, Rousaud F, Marchant F, Villavicencio H. Cólico renal: revisión de la literatura y evidencia científica. Actas Urol Esp [Internet]. 2006 [citado 10 Feb 2013];30(3). Disponible en: http://scielo.isciii.es/pdf/aue/v30n3/v31n3a04.pdf
Castro López FW. Urgencias urológicas. Educ Med Super [Internet]. 2009 Dic [citado 18 Feb 2013];23(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 21412009000400012&lng=es
Cupisti A, Pasquali E, Lusso S, Carlino F, Orsitto E, Melandri R. Renal colic in Pisa emergency department: epidemiology, diagnostics and treatmente patterns. Intern Emerg Med [Internet]. 2008 [citado 18 Feb 2013];3. Disponible en: http://link.springer.com/article/10.1007%2Fs11739- 008-0145-z#page-1
Del Arco Galán C, Parra Gordo ML, García-Casasola Sánchez G. Pruebas de imagen en el dolor abdominal agudo. Rev Clin Esp [Internet]. 2008 [citado 18 Feb 2013];208(10). Disponible en: http://www.revclinesp.es/en/pruebas-imagen-el-dolorabdominal/ articulo/S0014256508763902/
Shokeir A. Cólico nefrítico: fisiopatología, diagnóstico y tratamiento. European Urology 2008;9:1-8.
Infomed [Internet]. Ciudad de La Habana: Centro Nacional de Información de Ciencias Médicas; 2014 [citado 18 Feb 2013]. Disponible en: http://www.sld.cu/servicios/medicamentos/medicamentos_list.php?id=371
Sum LO, Johnston R, Ahmed Al, Sameraaii I, Metcalf PA. Rice ML Jonathan G. Seasonal variation in the acute presentation of urinary calculi over 8 years in Auckland, New Zealand. BJU International [Internet]. 2010 [citado 18 Feb 2013];106(1). Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2009.09012.x/full
Díaz MA, Irigoyen G, Ponce M. Diclofenaco y pargeverina: descripción de efectividad en el manejo del cólico nefrítico agudo. Revista Chilena de Urología 2007;72(3):301-304.
Taño JG, Rojas C, Patiño G. N-butilbromuro de hioscina más dipirona, tramadol y diclofenáco en el manejo del cólico nefrítico. Universitas Médica [Internet]. 2004 [citado 21 Febrero 2012];45(2). Disponible en http://med.javeriana.edu.co/publi/vniversitas/serial/v45n2/N%20butil.pdf
Aibar-Arregui MA, Matía-Sanz M, Pelay-Cacho R, Igúzquiza-Pellejero MJ, Martín-Fortea MP, Clavel-Conget L, et al. Manejo del cólico renal en urgencias de un hospital de tercer nivel. Anales Sis San Navarra [Internet]. 2010 Ago [citado 19 Feb 2013];33(2). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1137- 66272010000300003&lng=es .
Ordóñez FA, Ibáñez A, Martínez V, Málaga S, Santos F. Revisión Cólico nefrítico. Bol Pediatr [Internet]. 2008 [citado 19 Feb 2013];48. Disponible en: https://www.sccalp.org/documents/0000/0066/BolPediatr2008_48_003- 007.pdf
Cohen E, Hafner R, Rotenberg Z, Fadilla M, Garty M. Comparison of ketorolac and diclofenac in the treatment of renal colic. Eur J Clin Pharmacol [Internet]. 1998 [citado 19 Feb 2013];54(6). Disponible en: http://download.springer.com/static/pdf/859/art%253A10.1007%252Fs00228 0050492.pdf?auth66=1393078247_7e01e9d5a9ea454dbe3a98e86fca0ea6 &ext=.pdf
Gupta NP, Kumar A. Analgesia for pain control during extracorporeal shock wave lithotripsy: current status. Indian J Urol [Internet]. 2008 [citado 19 Feb 2013];24(2). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684259/
Andrew J, Portis J, Chandru P, Sundaram MD. Diagnosis and Initial Management of Kidney Stones. Am Fam Physician [Internet]. Apr 2001 [citado 19 Feb 2013];63(7). Disponible en: http://www.aafp.org/afp/2001/0401/p1329.html
Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol [Internet]. 2010 [citado 23 Mar 2012];12(2-3). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2931286/
Holst P. Cólico renal. Revista Argentina de Urología [Internet]. 2004 [citado 23 Mar 2012];69(3). Disponible en: http://www.intramed.net/UserFiles/rsat09105.pdf
Worster AS, Richards CG. Diuréticos y líquidos intravenosos para el tratamiento del cólico ureteral agudo. Biblioteca Cochrane Plus [Internet]. [citado 23 Mar 2012];4. Disponible en: http://www.fisterra.com/guias2/cochrane/AB004926-ES.htm