Volume 21 Issue 10
Oct.  2023
Turn off MathJax
Article Contents
YANG Xiaojun, CHEN Peng. Diagnosis and treatment strategies of traditional Chinese and Western medicine with abdominal pain[J]. Chinese Journal of General Practice, 2023, 21(10): 1631-1635. doi: 10.16766/j.cnki.issn.1674-4152.003186
Citation: YANG Xiaojun, CHEN Peng. Diagnosis and treatment strategies of traditional Chinese and Western medicine with abdominal pain[J]. Chinese Journal of General Practice, 2023, 21(10): 1631-1635. doi: 10.16766/j.cnki.issn.1674-4152.003186

Diagnosis and treatment strategies of traditional Chinese and Western medicine with abdominal pain

doi: 10.16766/j.cnki.issn.1674-4152.003186
Funds:

 A1-2601-22-427-003Z111

 A1-2601-22-427-003Z056

 20211127

  • Received Date: 2023-02-13
    Available Online: 2023-11-23
  • Abdominal pain is a common form of disease presentation and is one of the most common symptoms in outpatient and emergency. The causes of abdominal pain are complex and include medical abdominal pain, surgical abdominal pain, gynecological abdominal pain, etc. The atypical nature of the condition and the difficulty in diagnosing are the features of "abdominal pain". Some organic abdominal pains can even be life-threatening. As the gatekeeper to the health of the community, general practitioners, especially those who combine Chinese and Western medicine, are exposed to certain risks in the management of abdominal pain. This study is partly conducted to reduce the risks associated with medical treatment, analyzes and summarizes the common causes of abdominal pain from the perspective of a teacher teaching Chinese and Western general medicine, and sorts out strategies for the diagnosis and treatment of abdominal pain through relevant literature at domestic and international levels, so as to help students studying Chinese and Western general medicine to understand "abdominal pain", understand "abdominal pain", diagnose "abdominal pain", and diagnose abdominal pain at the early stage of their studies. The aim is to help students who study Chinese and Western general medicine understand "abdominal pain". In the diagnosis and treatment of abdominal pain, it is recommended that the condition be assessed through the five examinations of "Observation Auscultation and Olfaction, Inquiry, Pulse Feeling and Palpation and checking". It is important to assess the common causes of abdominal pain and to identify critical illnesses to avoid missing or misdiagnosing abdominal pain. In the case of fatal illnesses manifested by abdominal pain, symptomatic management is required to ensure the patients' safety and referral to a higher level hospital as soon as possible. It is recommended that a mind map be created based on the presentation of the patient with abdominal pain, and that the disease be diagnosed according to a combination of Chinese and Western medicine, with both Chinese and Western medicine, and with both Chinese and Western medicine. We should communicate with patients about the causes of their abdominal pain, treatment options, prognosis and care, in order to reduce patients ' worries and establish a trusting and harmonious doctor-patient relationship with them.

     

  • loading
  • [1]
    王肖龙. 诊断学基础[M]. 3版. 北京: 人民卫生出版社, 2021: 58-61.

    WANG X L. Fundamentals of Diagnostics[M]. 3rd edition. Beijing: People's Medical Publishing House, 2021: 58-61.
    [2]
    中华医学会, 中华医学会杂志社, 中华医学会消化病学分会, 等. 慢性腹痛基层诊疗指南(2019年)[J]. 中华全科医师杂志, 2019, 18(7): 618-627.

    Chinese Medical Association, Chinese Medical Journals Publishing House, Chinese Society of Gastroenterology, et al. Guideline for primary care of chronic abdominal pain(2019)[J]. Chinese Journal of General Practitioners, 2019, 18(7): 618-627.
    [3]
    金晓晴, 李慧萍, 倪绍洲, 等. 湖北省急救技能竞赛"急性腹痛"综合病例演练结果分析[J]. 中华全科医学, 2020, 18(5): 852-855. doi: 10.16766/j.cnki.issn.1674-4152.001374

    JIN X Q, LI H P, NI S Z, et al. Result analysis of "Acute Abdominal Pain" simulated case from Emergency Skills Competition in Hubei Province[J]. Chinese Journal of General Practice, 2020, 18(5): 852-855. doi: 10.16766/j.cnki.issn.1674-4152.001374
    [4]
    LAKHOO K, ALMARIO C V, KHALI C, et al. Prevalence and characteristics of abdominal pain in the United States[J]. Clin Gastroenterol Hepatol, 2021, 19(9): 1864-1872. e5. DOI: 10.1016/j.cgh.2020.06.065.
    [5]
    徐园园. 多层螺旋CT在急腹症病因分析中的应用价值[J]. 临床研究, 2020, 28(11): 123-124. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYN202011066.htm

    XU Y Y. The application value of multi-slice spiral CT in the etiology analysis of acute abdomen[J]. Clinical Research, 2020, 28(11): 123-124. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYN202011066.htm
    [6]
    李文升. 消化内科急性腹痛患者临床诊疗探析[J]. 医学食疗与健康, 2020, 18(17): 41, 43. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSL202017029.htm

    LI W S. Clinical diagnosis and treatment of acute abdominal pain patients in gastroenterology department[J]. Oriental Diet. Therapy and Health Care, 2020, 18(17): 41, 43. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSL202017029.htm
    [7]
    邢刚. 初诊不明原因腹痛的诊断分析(80例)[J]. 医疗装备, 2016, 29(20): 89-90. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZB201620070.htm

    XING G. Diagnosis and analysis of unexplained abdominal pain at initial diagnosis (80 cases)[J]. Medical Equipment, 2016, 29(20): 89-90. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZB201620070.htm
    [8]
    王卫林. 我院2019年至2021年儿童急性腹痛临床特点及病因分析[J]. 现代诊断与治疗, 2022, 33(16): 2377-2379, 2400. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD202216003.htm

    WANG W L. Clinical Characteristics and Etiology of Acute Abdominal Pain in Children in our Hospital from 2019 to 2021[J]. Modern Diagnosis and Treatment, 2022, 33(16): 2377-2379, 2400. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD202216003.htm
    [9]
    PEMMERL S, HVFNER A. Epidemiology, initial diagnosis, and therapy of unexplained abdominal pain in the emergency department[J]. Med Klin Intensivmed Notfmed, 2021, 116(7): 578-585.
    [10]
    TRIPTA S B, AMIT A, RAJIV V, et al. To study the epidemiology and clinical profile of adult patients with acute abdominal pain attending tertiary care hospital[J]. Santosh University Journal of Health Sciences, 2019, 5(2): 105-108.
    [11]
    李亭. CT平扫对急诊腹痛诊断体会[J]. 医学理论与实践, 2019, 32(5): 726-728. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL201905056.htm

    LI T. Experience in diagnosis of emergency abdominal pain with CT plain scan[J]. The Journal of Medical Theory and Practice, 2019, 32(5): 726-728. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL201905056.htm
    [12]
    RANJAN S K, KUMAR S. Management of chronic abdominal pain using diagnostic laparoscopy: a clinical study[J]. EJMCM, 2020, 11(7): 5443-5446.
    [13]
    刘杰, 孙洁, 程秀琴, 等. 磁控胶囊内镜在不明原因慢性腹痛诊断中的应用价值[J]. 影像研究与医学应用, 2021, 5(23): 15-17. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY202123006.htm

    LIU J, SUN J, CHEN X Q, et al. Diagnostic value of NaviCam magnetic-controlled capsule endoscopy system for unidentified chronicabdominalpain[J]. Journal of Imaging Research and Medical Applications, 2021, 5(23): 15-17. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY202123006.htm
    [14]
    钱秀云, 柳辰玥, 李杰, 等. 浅谈中医四诊的延伸[J]. 中国民间疗法, 2021, 29(14): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMJL202114001.htm

    QIAN X Y, LIU C Y, LI J, et al. On the extension of the four diagnosis methods in Traditional Chinese Medicine[J]. China's Naturopathy, 2021, 29(14): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMJL202114001.htm
    [15]
    金政, 李俊龙, 皮建彬, 等. 邓铁涛教授"双五"理论辨治心律失常之经验[J]. 中国中西医结合杂志, 2021, 41(10): 1245-1247. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202110016.htm

    JIN Z, LI J L, PI J B, et al. Experience of Prof. DENG Tie-tao in treating arrhythmias based on "Double Five" theory[J]. Chinese Journal of Integrated Traditional and Western Medicine, 2021, 41(10): 1245-1247. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202110016.htm
    [16]
    GANS S L, POLS M A, STOKER J, et al. Guideline for the diagnostic pathway in patients with acute abdominal pain[J]. Dig Surg, 2015, 32(1): 23-31.
    [17]
    王琦侠, 常文星, 雷涛. 分层递进思维导图在全科住院医师临床思维能力培养中的应用[J]. 中国毕业后医学教育, 2021, 5(3): 273-277. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202103020.htm

    WANG Q X, CHANG W X, LEI T. Application of the hierarchicaland progressive mind mapping in cultivation of the clinical thinking ability of general practice residents in the standardized training[J]. Chinese Journal of Graduate Medical Education, 2021, 5(3): 273-277. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202103020.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)

    Article Metrics

    Article views (308) PDF downloads(67) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return