全面腹部超声检查在急诊急腹症诊断中的应用及护理  

Application and Nursing of Comprehensive Abdominal Ultrasound Examination in Emergency Diagnosis of Acute Abdomen

作　　者：赵凤芹[1] ZHAO Fengqin(Department of Ultrasound,Tai'an Maternal and Child Health Hospital,Tai'an 271000,China)

机构地区：[1]泰安市妇幼保健院超声科,山东泰安271000

出　　处：《中华灾害救援医学》2024年第10期1234-1236,共3页Chinese Journal of Disaster Medicine

摘　　要：目的探究急腹症采用全面腹部超声检查的诊断效果及护理效果,以期为临床应用与护理提供参考。方法对2022年1月至2024年1月泰安市妇幼保健院超声科收治的110例来自急诊科的急腹症患者进行随机分组,对照组采用传统腹部超声检查,研究组采用全腹部超声检查,每组各55例。所有患者都接受急诊科护理,观察两组患者的诊断符合率、超声检查、临床诊断时间与检查费用,以及患者护理前后疼痛程度、负面情绪以视觉模拟评分法(Visual Analogue Scale,VAS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评估。结果两组患者护理前SAS、SDS、VAS评分差异较小(P>0.05),但研究组患者SAS、SDS、VAS评分在护理后低于对照组,差异有统计学意义(P<0.05)。研究组诊断符合率和检查费用高于对照组,但其临床诊断、超声检查时间比对照组短(P<0.05)。结论相较于传统腹部超声检查,急腹症经全面腹部超声检查的时间及费用虽然较多,但能有效提升患者临床诊断符合率,减少诊断用时,且对急腹症患者采取急诊护理干预对其负面情绪和疼痛感有明显缓解作用,护理效果显著。Objective To evaluate the diagnostic and nursing effects of comprehensive abdominal ultrasound examination for acute abdomen,providing reference for clinical application and nursing.Methods From January 2022 to January 2024,110 patients with acute abdomen admitted to the ultrasound department of Tai'an Maternal and Child Health Hospital were randomly divided into a control group(traditional abdominal ultrasound examination)and a study group(comprehensive abdominal ultrasound examination),with 55 patients in each group.All patients received emergency nursing care.The diagnostic compliance rate,ultrasound examination,clinical diagnosis time and examination cost,as well as the pain level(VAS),anxiety(SAS),and depression(SDS)emotions of the patients before and after nursing were observed in both groups.Results The difference in SAS,SDS,and VAS scores between the two groups of patients before nursing was small(P>0.05).The diagnostic accuracy and examination cost of the study group were higher than those of the control group,but the clinical diagnosis and ultrasound examination time were shorter than those of the control group(P<0.05).Moreover,the SAS,SDS,and VAS scores of the study group were lower than those of the control group after nursing,and the difference was statistically significant(P<0.05).Conclusion Compared to traditional abdominal ultrasound examination,although comprehensive abdominal ultrasound examination for acute abdomen takes more time and cost,it can effectively improve the clinical diagnosis accuracy of patients,reduce diagnostic time,and emergency nursing intervention for acute abdomen patients has a significant alleviating effect on their negative emotions and pain,with a significant nursing effect.

关 键 词：超声检查 急腹症 急诊处理 护理 

分 类 号：R445[医药卫生—影像医学与核医学]