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目的总结内科急性腹痛的诊疗体会,提高今后急性腹痛患者的临床治疗效果。方法选取我院在2010年3月～2012年3月期间内科门诊以急性腹痛就诊的96例患者,随机分为两组:治疗组和对照组。对照组患者进行常规治疗和对症治疗;观察组患者在常规治疗、对症治疗的基础上,应用糖皮质激素疗法。观察比较两组患者治疗后的第1天、2天、3天的腹痛减轻情况和总有效率。结果治疗组显效38例,有效6例,无效4例;对照组显效25例,有效8例,无效15例。观察组的临床疗效明显优于对照组,差异有统计学意义(P均<0.05)。结论:急性腹痛患者在常规对症治疗基础上应用糖皮质激素治疗,临床效果显著,值得临床推广应用。
Objective To summarize the experience of diagnosis and treatment of acute abdominal pain in medical department and to improve the clinical treatment effect of patients with acute abdominal pain in the future. Methods A total of 96 patients with acute abdominal pain from our clinic in March 2010 to March 2012 were randomly divided into two groups: treatment group and control group. Patients in the control group were treated routinely and symptomatically. Patients in the observation group were treated with glucocorticoid on the basis of conventional treatment and symptomatic treatment. Observed and compared two groups of patients after treatment, 1 day, 2 days, 3 days of abdominal pain relief and total effective rate. Results In the treatment group, 38 cases were markedly effective, 6 cases were effective and 4 cases were ineffective. The control group was markedly effective in 25 cases, effective in 8 cases and ineffective in 15 cases. The clinical efficacy of the observation group was significantly better than the control group, the difference was statistically significant (P all <0.05). Conclusion: Patients with acute abdominal pain in the conventional symptomatic treatment based on the application of glucocorticoid treatment, the clinical effect is significant, worthy of clinical application.