探讨研究急诊内科老年急性腹痛的临床诊治

目的探讨研究内科急诊老年急性腹痛患者临床诊治分析。方法随机选取因急性腹痛就诊于我院急诊内科进行治疗的患者300例为研究对象,随机分为实验组120例老年患者(年龄≥60岁),对照组中青年组(年龄≤50岁)180例患者,观察记录两组患者疾病分类特点及诊治情况,并对结果进行统计学分析。结果实验组患者中多数患者为泌尿系统疾病发病率最高,其次是消化系统疾病,而青年组患者中消化系统疾病的发病率最高;实验组循环系统疾病发病率为11.7%,明显高于对照组循环系统的发病率3.9%,差异有统计学意义(P<0.05)。实验组总有效率88.3%,明显低于对照组95.0%;实验组误诊漏诊率为6.7%,明显高于对照组0.6%,差异有统计学意义(P<0.05)。结论老年急性腹痛具有发病原因复杂,病情不典型,不易诊断,极容易误诊漏诊,治疗效果及预后情况相对较差的特点,诊治是应结合症状体征和现代化检查手段,全面分析考虑,注意用药安全。

The Exploration and Research of the Clinical Diagnosis and Treatment of Elderly Patients with Acute Abdominal Pain in the Department of Emergency Medicine

Objective To investigate and study the analysis of the clinical diagnosis and treatment of elderly patients with acute abdominal pain in the department of emergency medicine. Methods 300 patients in our hospital for acute abdominal pain in the department of emergency medicine were randomly chosen as the research object. They were randomly divided into the experimental group of 120 cases of elderly patients （≥ 60 years of age）, and the control group with the young group （age ≤ 50 years old） of 180 patients. The disease classification characteristics and situation of diagnosis and treatment of the two groups of patients were observed and record. Results In the patients of the experimental group, the majority of patients with the highest incidence were the disease of the urinary system, followed by diseases of the digestive system, the highest incidence of the disease in the young patients was the disease of digestive system. The incidence of the disease for the circulatory System of the experimental group was 11.7%, significantly higher than the control group. The incidence of circulatory system was 3.9%, and the difference was statistically significant （P〈0.05）. The total efficacy rate in the experimental group was 88.3%, significantly lower than the control group of 95.0%. The misdiagnosis rate of the experimental group was 6.7%, significantly higher than 0.6%, the difference was statistically significant （P〈0.05）. Conclusion The acute abdominal pain of elderly patients has the characteristics of complex causes, the not typical condition, not easy to diagnose, and extremely easy to misdiagnosis, relatively poor treatment effect and prognosis. The diagnosis and treatment should be combined with the signs and symptoms and modern examination methods, consider a comprehensive analysis and pay attention to drug safety.