内科急诊急性腹痛患者50例临床诊断分析.docVIP

精品论文 参考文献 内科急诊急性腹痛患者50例临床诊断分析 黄燕 王东青 杨林（通讯作者） 　　（成都医学院第一附属医院急诊科 四川 成都 610500） 　　【摘 要】目的：探讨内科急诊急性腹痛患者的临床诊断和治疗效果。方法：选取2012年6月~2013年6月来我院接受诊断治疗的50例内科急诊急性腹痛患者，随机将其分为观察组和对照组各25例，给予对照组患者采用肌肉注射山莨菪碱治疗，给予观察组患者采用自制的中药热敷包治疗，分别在药物治疗30分钟、1小时及6小时对两组患者的疗效进行对比，比较两组患者的治疗效果。结果：治疗30分钟以后，观察组总有效率为56%，对照组为64%，Plt;0.05。治疗1小时以后，观察组总有效率为80%，对照组为64%，Plt;0.05。治疗6小时以后，观察组总有效率为96%，对照组为60%，Plt;0.05。治疗1小时和6小时候观察组患者的总有效率明显要高于对照组，Plt;0.05。此外，观察组患者经过治疗后并没有出现不良反应，而对照组患者有6例出现轻度的面红口干，3例出现排尿困难。结论：采用中药热敷包治疗急性腹痛疾病效果明显，副作用小，值得在临床上广泛推广和应用。 　　【关键词】内科急诊；急性腹痛；临床诊断 　　【中图分类号】R825.93 【文献标识码】B 【文章编号】1003-5028（2015）7-0128-02 　　【Abstract】Objective: to study the medical emergency treatment of acute abdominal pain in patients with clinical diagnosis and therapeutic effect. Selection methods: from June 2012 to June 2012 to the hospital to accept the diagnosis and treatment of 50 cases of medical emergency patients with acute abdominal pain, and randomly divided into observation group and control group every 25 cases, giving the control group were treated by muscle injection of scopolamine mountain treatment, give the observation group were treated by homemade hot packs treatment of Chinese medicine, respectively in drug therapy for 30 minutes, 1 hour and 6 hours to contrast the curative effect of two groups of patients, to compare the therapeutic effect of two groups of patients. Results: 30 minutes later, the observation group total effective rate was 56%, control group was 64%, P lt; 0.05). Treatment after 1 hour, observation group total effective rate was 80%, control group was 64%, P lt; 0.05). Treatment after 6 hours, observation group total effective rate was 96%, control group was 60%, P lt; 0.05). Treatment for 1 hour and 6 total effective rate in patients with childhood observation group was obviously higher than the control group, P lt; 0.05). In addition, the observation group of patients after treatment and no adverse reaction, and the control group has 6 patients with dry mouth, red face appea