Das Debasis, Teece Stuart
Emerg Med J. 2006 Mar;23(3):225. doi: 10.1136/emj.2005.034330.
A short cut review was carried out to establish whether intravenous non-steroidal anti-inflammatory drugs are better than opioids at reducing pain in renal colic. 230 papers were found, of which five presented the best evidence to answer the clinical question, these have been meta-analysed by the Cochrane collaboration. The results of the meta-analysis are presented here. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. The clinical bottom line is that intravenous NSAID's should be the first-line treatment for patients presenting to the ED with acute renal colic.
进行了一项简短的综述，以确定静脉注射非甾体抗炎药在减轻肾绞痛疼痛方面是否优于阿片类药物。共找到230篇论文，其中5篇提供了回答该临床问题的最佳证据，这些论文已由考克兰协作组织进行了荟萃分析。此处展示了荟萃分析的结果。这些最佳论文的作者、出版日期和国家、研究的患者群体、研究类型、相关结果、结果以及研究不足都列于表格中。临床结论是，静脉注射非甾体抗炎药应作为急诊室中急性肾绞痛患者的一线治疗药物。
