上尿路结石导致肾绞痛的急诊处理：南京地区现况调查  

The treatment of emergent renal colicky pain： A survey in Nanjing

作　　者：宁本翔[1] 孙西钊[1] 周乐卿 蒋燕[1] 

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,210008

出　　处：《中华泌尿外科杂志》2014年第2期95-97,共3页Chinese Journal of Urology

摘　　要：目的 了解南京地区急诊外科医生和泌尿外科医生对肾绞痛的认知和诊治的现况.方法 2012年3-12月,以调查问卷的形式调查南京15家医院（其中三级医院9所,二级医院6所）的145位急诊外科和泌尿外科医生,内容包括：对肾绞痛的认知、诊断和治疗的选择决策.结果 在收回的133份有效问卷（占总数的91.7％）中,57.9％的医生将B超作为首要影像学检查;52.6％的医生认为解痉类药物是肾绞痛镇痛的首选药物,选择非甾体类抗炎镇痛药物的医生占29.3％;44.7％的医生对肾绞痛患者进行常规补液治疗,40.6％的医生常规使用抗生素.结论 被调查的医生对于肾绞痛的认知、诊断与治疗方面仍存在不足之处,需进一步规范.Objective To survey the urologists and emergency room （ER） physicians in Nanjing for the practice of diagnosis and treatment of renal colicky pain.Methods From Mar.2012 to Dec.2012,a total of 145 doctors （including urologists and ER physicians） from 15 hospitals in Nanjing were interviewed to complete the questionnaire.The content of the questionnaire includes the conception,diagnosis and treatment of renal colicky pain.Results One hundred and thirty-three doctors were qualified for the final analysis,and 57.9％ of the interviewees took ultrasound as the first choice of imaging examination.About half of the interviewees （52.6％） chose spasmolysis medication as the first choice of analgesics,and only 29.3％ of the interviewees chose Nonsteroidal anti-inflammatory analgesics （NSAIDs）.There were 44.7％ of the interviewees administering intravenous therapy to the patients with renal colicky pain and 40.6％ administering antibiotics.Conclusions There is much shortcoming and confusion about the diagnosis and treatment of renal colicky pain,and the therapy should be standardized.

关 键 词：肾绞痛 诊断和治疗 现况调查 

分 类 号：R691.4[医药卫生—泌尿科学]