目的探讨用循证医学观点分析并指导肾绞痛的急诊处置的意义。方法用循证医学方法对220例急诊科接诊的肾绞痛患者的处置进行指导。结果诊断符合率98%,保守治疗有效率95%,ESWl,治愈率80%,输尿管弹道碎石治愈率95%,开放性手术治愈率100%。结论掌握和应用循证医学理论,可以对急诊肾绞痛做出更加优化和科学的处置。 Objective To explore the significance of using emergency evidence to analyze and guide the emergency treatment of renal colic. Methods Evidence - based medicine was used to guide the treatment of 220 cases of renal colic in emergency department. Results The diagnostic coincidence rate was 98%, the effective rate of conservative treatment was 95%, ESWl, the cure rate was 80%, the cure rate of ureter ballistic lithotripsy was 95%, and the cure rate of open surgery was 100%. Conclusion To master and apply evidence-based medicine theory can make more optimized and scientific treatment of emergency renal colic.