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由于间质性膀胱炎病因未明,诊断不明,治疗不一和疗效有限。很多研究提示三环抗抑郁药治疗慢性疼痛的价值,作者对25名在麻醉时膀胱水膨胀治疗于80cm水压7分钟失败和膀胱内滴注二甲亚砜50ml,肝素5000U,去炎松10mg和重碳酸盐44mEg每周6次,失败患者用阿米替林治疗,均符合马里兰贝塞斯达国立卫生研究所1987年8月制定间质性膀胱炎诊断。第1周用阿米替林25mg睡前,第2周增至50mg睡前,第3周再增至75mg睡前。不能耐受3周治疗者不予评价,维持服药直至不再觉症状
As the etiology of interstitial cystitis is unknown, the diagnosis is unknown, the treatment is different and the curative effect is limited. Many studies suggest the value of tricyclic antidepressants in the treatment of chronic pain, the authors of the 25 cases of bladder swelling during anesthesia in 80cm water pressure failure of 7 minutes and intravesical instillation dimethyl sulfoxide 50ml, heparin 5000U, triamcinolone 10mg And bicarbonate 44 mEg 6 times per week, failed patients treated with amitriptyline, are in line with Maryland Bethesda National Institute of Health in 1987 August to develop interstitial cystitis diagnosis. The first week with amitriptyline 25mg before going to bed, the first 2 weeks to 50mg before going to bed, the third week and then increased to 75mg before going to bed. Can not tolerate 3 weeks treatment will not be evaluated, to maintain medication until no longer feel the symptoms