全面腹部超声检查在老年腹痛患者中的临床价值

李志勇　　李星　　何真

[关键词] 全面腹部超声;选择性腹部超声;老年患者;腹痛

[中图分类号] R656.1          [文献标识码] B          [文章编号] 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

腹痛是临床上极其常见的症状，也是患者就诊的重要原因之一。因老年患者身体机能下降，对疼痛的反应下降，症状体征不典型，故诊断难道加大，易漏诊、误诊。如诊治不及时，将会导致病情加重，甚至有可能给患者的生命健康带来威胁。腹部超声因其简便快捷、分辨率高、临床普及率高，被认为是腹痛患者首选的影像学检查方法[1]。腹部超声检查包括全面腹部超声检查、选择性腹部超声检查。部分学者在研究中发现，采用全面腹部超声检查可缩短诊断时间，有助于临床医师准确判断患者疾病情况[2-4]，然而其用于老年腹痛患者检查效果的研究较少。基于此，选取我院诊治的120例老年腹痛患者进行研究，旨在探讨全面腹部超声检查在老年腹痛患者的临床价值，现报道如下。

1 资料与方法

1.1 一般资料

选取2018年6月至2019年12月景德镇市第二人民医院诊治的120例老年腹痛患者，其中男51例，女69例;年龄63～79岁，平均（68.04±3.64）岁。按照检查方法的不同将120例患者分为试验组与对照组，每组各60例，分别进行全面腹部超声检查、选择性腹部超声检查。试验组中，男27例，女33例，年龄62～74岁，平均（66.28±5.29）岁，腹痛时间为2 h～8 d，平均（67.9±10.3）h。对照组中，男24例，女36例，年龄63～79岁，平均（64.15±4.48）岁，腹痛时间为3 h～7 d，平均（73.6±15.4）h。兩组一般资料比较，差异均无统计学意义（P>0.05），具有可比性。