全面腹部超聲檢查在老年腹痛患者中的臨床價值

李志勇　　李星　　何真

[關鍵詞] 全面腹部超聲;選擇性腹部超聲;老年患者;腹痛

[中圖分類號] R656.1? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）20-0116-03

The clinical value of comprehensive abdominal ultrasonography in elderly patients with abdominal pain

LI Zhiyong? ?LI Xing? ?HE Zhen

Department of Ultrasound， the Second People′s Hospital of Jingdezhen in Jiangxi Province， Jingdezhen? 333000， China

[Abstract] Objective To explore the clinical value of comprehensive abdominal ultrasound in elderly patients with abdominal pain. Methods A total of 120 elderly patients with abdominal pain diagnosed and treated in the Second People′s Hospital of Jingdezhen City from June 2018 to December 2019 were divided into the experimental group and the control group according to the different examination methods. The two groups underwent a comprehensive abdominal ultrasound and selective abdominal ultrasound， respectively. The ultrasound examination time， clinical diagnosis time， and coincidence rate of ultrasound diagnosis between the two groups were compared. Results The time of ultrasound examination in the experimental group was （19.45±3.76）min， the clinical diagnosis time was （1.75±0.54）h， and the coincidence rate of ultrasound diagnosis was 88.3%. The difference between the experimental group and the control group was statistically significant （P<0.05）. In the diagnosis of peptic ulcer or tumors and angiogenic abdominal pain， the diagnostic coincidence rates of the experimental group were 72.7% and 77.7%， which were significantly different from those of the control group（P<0.05）. Conclusion In elderly patients with abdominal pain， although the use of comprehensive abdominal ultrasound examination will extend the examination time，it will increase the diagnostic coincidence rate and shorten the clinical diagnosis time， which has high clinical value.

[Key words] Comprehensive abdominal ultrasound; Selective abdominal ultrasound; Elderly patients; Abdominal pain

腹痛是臨床上極其常見的癥狀，也是患者就診的重要原因之一。因老年患者身體機能下降，對疼痛的反應下降，癥狀體征不典型，故診斷難道加大，易漏診、誤診。如診治不及時，將會導致病情加重，甚至有可能給患者的生命健康帶來威脅。腹部超聲因其簡便快捷、分辨率高、臨床普及率高，被認為是腹痛患者首選的影像學檢查方法[1]。腹部超聲檢查包括全面腹部超聲檢查、選擇性腹部超聲檢查。部分學者在研究中發現，采用全面腹部超聲檢查可縮短診斷時間，有助于臨床醫師準確判斷患者疾病情況[2-4]，然而其用于老年腹痛患者檢查效果的研究較少。基于此，選取我院診治的120例老年腹痛患者進行研究，旨在探討全面腹部超聲檢查在老年腹痛患者的臨床價值，現報道如下。

1 資料與方法

1.1 一般資料

選取2018年6月至2019年12月景德鎮市第二人民醫院診治的120例老年腹痛患者，其中男51例，女69例;年齡63～79歲，平均（68.04±3.64）歲。按照檢查方法的不同將120例患者分為試驗組與對照組，每組各60例，分別進行全面腹部超聲檢查、選擇性腹部超聲檢查。試驗組中，男27例，女33例，年齡62～74歲，平均（66.28±5.29）歲，腹痛時間為2 h～8 d，平均（67.9±10.3）h。對照組中，男24例，女36例，年齡63～79歲，平均（64.15±4.48）歲，腹痛時間為3 h～7 d，平均（73.6±15.4）h。兩組一般資料比較，差異均無統計學意義（P>0.05），具有可比性。