循证医学方法在肾绞痛急诊处置中的应用

The application of evidence-based medicine in emergency treatment of renal colic

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 discuss the significance of emergency treatment in renal colic by EBM（evidence-based medicine）. Methods： The emergency treatment of 220 renal colic patients were guided by EBM. Results：The accordance ratio of diagnosis is 98 %, the effective ratio of conservation therapy is 95 %, the cure ratio of ESWL（extracorporeal shock wave lithotripsy）is 80%, the ureteroscopy cure ratio is 95%, the opening operation cure ratio is 100 %. Conclusions： To master and apply EBM theory , more optimize and scienfic treatments can be done to the renal colic patients.