*通讯作者：王建国，1987年9月，男，汉族，山东聊城人，就职于莘县徐庄镇卫生院，主治医师，本科。研究方向：儿科。

摘要：目的：观察分析小儿内科急性腹痛的临床特点及治疗情况。方法：80例小儿内科急性腹痛患儿，采用随机数字表法分为实验组和对照组，每组40例。对照组患儿实施常规治疗，实验组患儿实施综合治疗。观察比较两组患儿治疗效果、生活质量评分及疼痛评分。结果：实验组的治疗总有效率为95.0%，高于对照组的75.0%，差异有统计学意义（x2 = 6.2745，P = 0.0122 < 0.05）。实验组躯体健康、心理健康、精神状态、社会功能评分分别为（41.46±2.26）（40.05±2.65）（38.41±2.17）（40.44±2.22）分，均高于对照组的（35.42±3.18）（35.18±1.98）（35.32±3.15）（36.17±3.53）分，差异有统计学意义（P < 0.05）。治疗前，两组患儿疼痛评分对比差异无统计学意义（P > 0.05）;治疗后，实验组患儿的疼痛评分（11.17±2.44）分低于对照组的（17.46±3.25）分，差异有统计学意义（t = 9.7887，P = 0.0000 < 0.05）。结论：小儿内科急性腹痛患儿实施综合治疗的临床疗效显著，同时可提高患儿生活质量，减少其疼痛情况，值得临床推广。

关键词：小儿内科;急性腹痛;综合治疗;疼痛评分;生活质量;预后

Abstract： Objective： To observe and analyze the clinical characteristics and treatment of acute abdominal pain in pediatric internal medicine. Methods： 80 children with acute abdominal pain were randomly divided into experimental group and control group， with 40 cases in each group. The children in the control group were treated with routine treatment， and the children in the experimental group were treated with comprehensive treatment. The therapeutic effect， quality of life score and pain score were observed and compared between the two groups. Results： The total effective rate of the experimental group was 95.0%， higher than 75.0% of the control group， the difference was statistically significant （x2=6.2745，P=0.0122<0.05）. The scores of physical health， mental health， mental state and social function in the experimental group were （41.46 ± 2.26）， （40.05 ± 2.65）， （38.41 ± 2.17）， （40.44 ± 2.22） respectively， which were significantly higher than those in the control group （35.42 ± 3.18）， （35.18 ± 1.98）， （35.32 ± 3.15）， （36.17 ± 3.53） （P < 0.05）.Before treatment， there was no significant difference in pain scores between the two groups （P > 0.05）; After treatment， the pain score of children in the experimental group （11.17 ± 2.44） was lower than that of the control group （17.46 ± 3.25） （t = 9.7887， P = 0.0000 < 0.05）.Conclusion： The clinical effect of comprehensive treatment for children with acute abdominal pain in pediatric internal medicine is remarkable. At the same time， it can improve the quality of life of children and reduce their pain. It is worthy of clinical promotion.

Keywords： Pediatric internal medicine; Acute abdominal pain; Comprehensive treatment; Pain scores; Life quality; Prognosis

一、引言

腹部疼痛是小兒疾病中比较常见的一种病症，起病急、发展迅速，病因复杂多样。常见诱因有蛔虫症、急性阑尾炎、肠套叠、嵌顿疝、细菌性痢疾、过敏性紫癜以及肠痉挛等。但由于小儿语言能力的欠缺，难以表达自己的不适，只有通过哭来表达痛苦。所以当家中患儿出现易反复闹，持续时间长等情况的时候，家长一定要多加注意。如果只是一般的小病运用保守的药物治疗便可以恢复，但如果是比较严重的疾病，如急性阑尾炎、肠套叠、肠梗阻等需进行手术切除部分组织或器官。……