46例小儿急性腹痛的原因与治疗

Causes and treatment of 46 acute abdominal pain in children

目的:探讨小儿急性腹痛的原因与治疗体会。方法:选取46例急性腹痛患儿的临床资料进行总结分析。结果:小儿急性腹痛的原因包括急性肠胃炎、肠痉挛、消化性溃疡、急性阑尾炎、胃肠道反应、肠叠套以及其他,其中以肠痉挛、消化性溃疡、急性肠胃炎占比较大。经治疗后,患儿的临床症状得到明显改善,治愈36例,显效10例,无效0例,治疗有效率为100%;患儿治疗前VAS评分为(3.61±0.29)分,治疗后VAS评分为(0.21±0.05)分,治疗前后VAS评分差异有统计学意义(t=78.361,P=0.000)。结论:小儿急性腹痛的主要原因为肠痉挛、消化性溃疡、急性肠胃炎,经针对性治疗后均可获得满意效果。

Objective： To investigate causes and treatment experience of acute abdominal pain in children. Methods： Theclinical data of 46 cases with abdominal pain were selected and summarized. Results： The causes of acute abdominal pain in the chil-dren included acute gastroenteritis, intestinal spasm, peptic ulcer, acute appendicitis, gastrointestinal reaction, intestinal bundles andothers, among which, intestinal spasm, peptic ulcer and acute gastroenteritis accounted for a larger proportion. After the treatment, theclinical symptoms of the children were significantly improved. 36 cases were cured, 10 cases were markedly effective, 0 case was inef-fective and the treatment efficiency was 100%. The VAS scores were （3. 61依0. 29） before the treatment and （0. 21依0. 05） after thetreatment, and the difference was statistically significant （t = 78. 361, P= 0. 000）. Conclusions： The main causes of acute abdominalpain in the children included acute gastroenteritis, intestinal spasm, peptic ulcer, and the targeted treatment can achieve satisfactoryresults.