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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 study the diagnosis and treatment of patients with acute renal colic, to standardize and improve the diagnosis and treatment of acute renal colic and to improve the patients’ satisfaction. Methods Patients with acute renal colic were enrolled in this study. Based on the outpatient medical record, the diagnosis and treatment of the patients and the subjective feelings were traced back. Results A total of 106 records of acute renal colic were collected and the number of visits was 214. Only 12.1% of the visiting doctors in the medical history and physical examination directly to the first treatment. 84.6% of patients are not satisfied with the pain can not be effectively alleviated as soon as possible, especially after waiting for treatment and then not satisfied with the treatment. 4.7% of patients given electrolyte test, and 100% hypokalemia, and given potassium; 51.4% of the treatment contains antibiotics. Conclusion A considerable number of doctors in the diagnosis of relatively conservative, difficult to meet the psychological requirements of patients; patients with low electrolyte test; the use of antibiotics is high.