消化内科患者恶心呕吐的临床分析及治疗

Clinical Analysis and Treatment of Patients with Nausea and Vomiting in the Department of Internal Medicine

目的研究消化内科患者恶心呕吐临床病因及治疗。方法纳入200例消化内科恶心呕吐患者临床资料,随机分组,对照组患者常规给予止呕药物治疗,观察组患者给予病因针对性治疗。统计消化内科患者恶心呕吐的病因,并对比两组的治疗效果。结果消化内科患者恶心呕吐的病因包括胃肠道疾病(急性胃肠炎、反流性食管炎、功能性消化不良、消化溃疡)、药物因素(放化疗)、肝胆胰疾病(肝胆结石、肝硬化、胰腺炎)、精神因素(精神疾病、压力),比率依次递减,差异具有统计学意义(P<0.05)。干预后观察组患者治疗效果明显比对照组好,差异有统计学意义(P<0.05)。结论消化内科患者恶心呕吐的病因包括主要为胃肠道疾病,临床给予病因针对性治疗效果显著,值得推广。

Objective To study the etiology and treatment of patients with nausea and vomiting in patients with gastrointestinal diseases. Methods Included 200 cases of clinical data of patients with digestive internal medicine, nausea and vomiting, were randomly divided into two groups, the control group were given conventional antiemetic drug treatment observed group of patients given the etiology of targeted therapy. The cause of nausea and vomiting in patients with gastrointestinal statistics and the treatment effect of the two groups. Results Digestion the cause of nausea and vomiting in patients with medical including gastrointestinal diseases（acute gastroenteritis, reverse flow esophagitis, functional dyspepsia, peptic ulcer）, effects of drugs（chemotherapy）, hepatobiliary and pancreatic diseases（liver, gallstones, liver cirrhosis, pancreatitis）, mental factors（mental illness, pressure）, ratio was decreased, the difference is statistical significance（P〈0.05）. The treatment effect of the observation group was significantly better than the control group, the difference was statistically significant（P〈0.05）. Conclusion The etiology of nausea and vomiting in patients with gastrointestinal diseases including gastrointestinal tract diseases, and the clinical treatment effect is significant, worthy of promotion.