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永久资源链接：肾结石？是时候重新审视那些药物了。

PURLs: Kidney stones? It's time to rethink those meds.

作者信息

Slattengren Andrew H, Prasad Shailendra, Jarrett Jennie B

机构信息

North Memorial Family Medicine Residency, University of Minnesota, Minneapolis, MN, USA.

Family Medicine Residency Program, University of Pittsburgh Medical Center St. Margaret, PA, USA.

出版信息

J Fam Pract. 2016 Feb;65(2):118-20.

PMID:26977462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4762879/
Abstract

Despite being recommended for ureteral stone expulsion, tamsulosin or nifedipine are no more effective than placebo.

摘要

尽管坦索罗辛或硝苯地平被推荐用于输尿管结石排出，但它们并不比安慰剂更有效。

相似文献

1
PURLs: Kidney stones? It's time to rethink those meds.永久资源链接：肾结石？是时候重新审视那些药物了。
J Fam Pract. 2016 Feb;65(2):118-20.
2
Stones: Now the drugs don't work: tamsulosin is ineffective as medical expulsive therapy.结石：现在药物不起作用了：坦索罗辛作为药物排石疗法无效。
Nat Rev Urol. 2015 Jul;12(7):357. doi: 10.1038/nrurol.2015.132. Epub 2015 Jun 2.
3
α-channel and calcium-channel blockers are ineffective as medical expulsive therapy for ureteral stones regardless of size and location.α通道阻滞剂和钙通道阻滞剂作为输尿管结石的药物排石疗法无效，无论结石大小和位置如何。
Evid Based Med. 2015 Oct;20(5):171. doi: 10.1136/ebmed-2015-110244. Epub 2015 Aug 3.
4
Ureteric colic and clinical evidence.输尿管绞痛及临床证据。
Lancet. 2015 Nov 7;386(10006):1822-3. doi: 10.1016/S0140-6736(15)00763-1.
5
Ureteric colic: evidence empowers responsible treatment.输尿管绞痛：循证医学助力合理治疗。
Lancet. 2015 Jul 25;386(9991):315-6. doi: 10.1016/S0140-6736(15)60965-5. Epub 2015 May 18.
6
Re: Medical Expulsive Therapy in Adults with Ureteric Colic: A Multicentre, Randomised, Placebo-controlled Trial.关于：成人输尿管绞痛的药物排石疗法：一项多中心、随机、安慰剂对照试验。
Eur Urol. 2015 Nov;68(5):910-1. doi: 10.1016/j.eururo.2015.07.069.
7
Medical Expulsive Therapy for Ureteric Colic: New Hard Evidence: Commentary on: Medical expulsive therapy in adults with ureteric colic: a multicentre, randomised, placebo-controlled trial.输尿管绞痛的药物排石疗法：新的确凿证据：对《成人输尿管绞痛的药物排石疗法：一项多中心、随机、安慰剂对照试验》的评论
Urology. 2015 Oct;86(4):649-50. doi: 10.1016/j.urology.2015.06.030.
8
Ureteric colic and clinical evidence - Authors' reply.输尿管绞痛与临床证据——作者回复
Lancet. 2015 Nov 7;386(10006):1823. doi: 10.1016/S0140-6736(15)00764-3.
9
Medical expulsive therapy in adults with ureteric colic: a multicentre, randomised, placebo-controlled trial.成人输尿管绞痛的医学排石治疗：一项多中心、随机、安慰剂对照试验。
Lancet. 2015 Jul 25;386(9991):341-9. doi: 10.1016/S0140-6736(15)60933-3. Epub 2015 May 18.
10
Comparison of Tamsulosin, Nifedipine, and Placebo for Ureteric Colic.坦索罗辛、硝苯地平与安慰剂治疗输尿管绞痛的比较。
CJEM. 2017 Mar;19(2):156-158. doi: 10.1017/cem.2015.105. Epub 2015 Nov 20.

引用本文的文献

1
PURLs: Tamsulosin for patients with ureteral stones?永久资源定位符：坦索罗辛用于输尿管结石患者？
J Fam Pract. 2018 Jan;67(1):37-38.

本文引用的文献

1
Medical expulsive therapy in adults with ureteric colic: a multicentre, randomised, placebo-controlled trial.成人输尿管绞痛的医学排石治疗：一项多中心、随机、安慰剂对照试验。
Lancet. 2015 Jul 25;386(9991):341-9. doi: 10.1016/S0140-6736(15)60933-3. Epub 2015 May 18.
2
Alpha-blockers as medical expulsive therapy for ureteral stones.α受体阻滞剂作为输尿管结石的药物排石疗法
Cochrane Database Syst Rev. 2014 Apr 2(4):CD008509. doi: 10.1002/14651858.CD008509.pub2.
3
Emergency department visits, use of imaging, and drugs for urolithiasis have increased in the United States.美国急诊就诊人次、影像检查使用情况以及尿路结石治疗药物均有所增加。
Kidney Int. 2013 Mar;83(3):479-86. doi: 10.1038/ki.2012.419. Epub 2013 Jan 2.
4
Prevalence of kidney stones in the United States.美国肾结石的患病率。
Eur Urol. 2012 Jul;62(1):160-5. doi: 10.1016/j.eururo.2012.03.052. Epub 2012 Mar 31.
5
Medical therapy to facilitate the passage of stones: what is the evidence?促进结石排出的医学疗法：证据是什么？
Eur Urol. 2009 Sep;56(3):455-71. doi: 10.1016/j.eururo.2009.06.012. Epub 2009 Jun 21.
6
2007 Guideline for the management of ureteral calculi.《2007年输尿管结石管理指南》
Eur Urol. 2007 Dec;52(6):1610-31. doi: 10.1016/j.eururo.2007.09.039.
7
The accuracy of noncontrast helical computed tomography versus intravenous pyelography in the diagnosis of suspected acute urolithiasis: a meta-analysis.非增强螺旋计算机断层扫描与静脉肾盂造影在疑似急性尿路结石诊断中的准确性：一项荟萃分析。
Ann Emerg Med. 2002 Sep;40(3):280-6. doi: 10.1067/mem.2002.126170.
8
Discrepancies between meta-analyses and subsequent large randomized, controlled trials.荟萃分析与随后的大型随机对照试验之间的差异。
N Engl J Med. 1997 Aug 21;337(8):536-42. doi: 10.1056/NEJM199708213370806.