探讨腹痛中心的建立对急腹症患者救治效率及预后的影响。

回顾性分析2023年3月至2025年2月收治的急腹症患者，根据救治模式分为常规会诊组（n=643）和腹痛中心组（n=809）。采用SPSS 27.0软件进行数据分析，计数资料以[例（%）]表示，采用χ²检验或Fisher精确检验；符合正态分布的计量资料以（±s）表示，组间比较使用独立样本t检验，非正态分布的计量资料以M(Q₁，Q₃）表示，组间比较采用Mann-Whitney U检验。P<0.05表示差异具有统计学意义。

腹痛中心组患者接诊至入院时间中位数、入院至入手术室时间中位数均显著短于常规会诊组（P<0.05）；急性阑尾炎、急性胆囊炎、消化道穿孔及肠坏死患者手术时间中位数均显著缩短（P<0.05）；急性阑尾炎、急性胆囊炎、肠梗阻、消化道穿孔及腹部疝患者住院时间中位数亦显著减少（P<0.05）；腹痛中心组患者术后并发症发生率显著下降，住院费用中位数显著低于常规会诊组（P<0.05）。

腹痛中心模式显著优化了急腹症的救治流程，为建立规范化、高效化的急腹症诊疗体系提供了较高级别的临床证据和实践参考。

To explore the impact of the establishment of the abdominal pain center on the efficiency and prognosis of patients with acute abdominal diseases.

A retrospective analysis was conducted on patients with acute abdominal diseases admitted from March 2023 to February 2025. The patients were divided into the conventional consultation group (n=643) and the abdominal pain center group (n=809) based on the treatment mode. Data were analyzed using SPSS 27.0 software. Count data were expressed as [cases (%)], and χ² test or Fisher’s exact test was used; measurement data with normal distribution were expressed as (±s), and independent sample t test was used for group comparison; measurement data with non-normal distribution were expressed as M(Q₁, Q₃), and Mann-Whitney U test was used for group comparison. P<0.05 indicated statistically significant differences.

The median time from consultation to admission and the median time from admission to entering the operating room in the abdominal pain center group were significantly shorter than those in the conventional consultation group (P<0.05); the median operation time for patients with acute appendicitis, acute cholecystitis, digestive tract perforation, and intestinal necrosis was significantly shorter (P<0.05); the median hospitalization time for patients with acute appendicitis, acute cholecystitis, intestinal obstruction, digestive tract perforation, and abdominal hernia was also significantly reduced (P<0.05); the postoperative complication rate in the abdominal pain center group was significantly lower, and the median hospitalization cost was significantly lower than that in the conventional consultation group (P<0.05).

The abdominal pain center model significantly optimized the treatment process of acute abdominal diseases, providing higher-level clinical evidence and practical references for the establishment of a standardized and efficient emergency abdominal disease diagnosis and treatment system.