结石性急性肾绞痛门诊诊治状况的调查研究

Investigation on outpatient treatment status of acute renal colic by the stone

目的研究急性肾绞痛患者的诊疗现状,规范及提高急性肾绞痛的诊治疗效,提高患者满意程度。方法收集以急性肾绞痛就诊的患者,以门诊病历为依据,追溯患者的诊治情况及主观感受。结果共收集106份急性肾绞痛病历,就诊例次为214次。仅12.1%的就诊医生在询问病史及查体后,直接给予首次治疗措施。84.6%的患者对疼痛不能尽快有效缓解不满意,尤其对等待检查后再治疗不满意。4.7%的患者给予电解质检查,且100%低钾,并给予补钾;51.4%的治疗中含有抗生素。结论相当多的医生在诊断上相对保守,难以满足患者的心理要求;患者电解质检查率偏低;抗生素的使用率偏高。

Objective To investigate the present status of diagnosis and treatment of patients with acute renal colic,and thus to improve the treatment effect of acute renal colic and the satisfaction of patients. Methods Patients with acute renal colic were selected. According to the out-patient medical records,treatment and subjective feelings were recorded. Results A total of 106 copies of medical records of acute renal colic were collected,with visits to the doctor for 214 times. Only 12. 1% of the doctor made directly the first treatment measures by the history and examination. 84. 6% of the patients were unsatisfactory with the pain which cannot be relieved soon,especially with received the treatment after waiting a long time. 4. 7% of patients were given electrolyte inspection,and 100% showed low potassium,and were given the potassium supplement. 51. 4% patients received treatment containing antibiotics. Conclusion A considerable number of doctors is relatively conservative in the diagnosis,and difficult to meet the psychological requirements of the patients. The rate of electrolyte inspection is low,but antibiotic is high.