热奄包治疗与急诊腹痛患者急诊滞留时间的相关性分析

Correlation Analysis of Hot Compress Therapy and the Emergency Stay Time of Patients with Abdominal Pain in the Emergency Department

摘要: 目的：探讨中药热奄包治疗对急诊腹痛患者急诊滞留时间的影响，为优化急诊流程、整合中西医护理方案提供科学依据。方法：采用回顾性队列研究设计，选取2022年1月至2025年5月期间我院急诊科收治的70例急性腹痛患者作为研究对象。根据是否接受中药热奄包干预分为观察组(n = 35)和对照组(n = 35)。对照组患者接受急诊常规治疗与护理，观察组在常规治疗基础上加用中药热奄包干预。比较两组患者的基线资料、急诊滞留时间，并采用多元线性回归分析热奄包治疗与滞留时间的独立关联性。结果：两组患者基线资料均衡可比。观察组平均急诊滞留时间为(5.42 ± 1.86)小时，显著短于对照组的(7.95 ± 2.34)小时，差异具有统计学意义(t = −5.12, P < 0.01)。多元线性回归分析显示，在控制了白细胞计数、发病至就诊时间、腹痛病因及年龄等混杂因素后，热奄包治疗(是 = 1)仍是缩短急诊滞留时间的独立保护因素(B = −2.15, 95% CI: −3.00~−1.30, P < 0.01)。结论：中药热奄包干预可显著缩短急诊腹痛患者的滞留时间，且安全性良好。该技术作为一种“简、便、验、廉”的中医外治法，在急诊科具有重要的应用价值，有助于提高急诊运行效率。

Abstract: Objective: To explore the effect of traditional Chinese medicine hot compress therapy on the emergency stay time of patients with abdominal pain in the emergency department, and to provide a scientific basis for optimizing the emergency process and integrating the nursing plans of traditional Chinese and Western medicine. Methods: A retrospective cohort study design was adopted. Seventy patients with acute abdominal pain admitted to the emergency department of our hospital from January 2022 to May 2025 were selected as the research subjects. According to whether they received the intervention of traditional Chinese medicine hot compress, they were divided into the observation group (n = 35) and the control group (n = 35). Patients in the control group received emergency conventional treatment and care, while those in the observation group were intervened with traditional Chinese medicine hot compress packs on the basis of conventional treatment. The baseline data and emergency stay time of the two groups of patients were compared, and multiple linear regression analysis was used to analyze the independent association between heat pack treatment and stay time. Result: The baseline data of the two groups of patients were balanced and comparable. The average emergency stay time of the observation group was (5.42 ± 1.86) hours, which was significantly shorter than that of the control group [(7.95 ± 2.34) hours], and the difference was statistically significant (t = −5.12, P < 0.01). Multivariate linear regression analysis showed that after controlling for confounding factors such as white blood cell count, time from onset to visit, cause of abdominal pain and age, hot compresses (yes = 1) remained an independent protective factor for shortening the emergency stay time (B = −2.15,95% CI: −3.00 to −1.30, P < 0.01). Conclusion: The intervention of traditional Chinese medicine hot compress can significantly shorten the retention time of patients with abdominal pain in the emergency department, and it has good safety. This technology, as a “simple, convenient, effective and inexpensive” external treatment method of traditional Chinese medicine, has significant application value in the emergency department and helps to improve the efficiency of emergency operation.