Dunning P G, Goldman M D
East Birmingham Hospital, Bordesley Green East.
Ann R Coll Surg Engl. 1991 Jul;73(4):233-4.
Rectal examination is considered an important part of the examination of patients presenting with abdominal pain. However, children find anal digitation unpleasant and it was our impression that doctors were becoming less insistent on performing a rectal examination. We performed an audit of rectal examination and assessed whether this made any difference to the management of children with acute abdominal pain. We looked at the records of 48 children from 1989 and 49 children from 1985 presenting with abdominal pain. We found that the rate of rectal examination was halved in this time. Diagnostic accuracy was similar in the two groups, and the morbidity rate was the same. These findings call into question the need for routine rectal examination in children with suspected appendicitis.
直肠指检被认为是腹痛患者检查的重要组成部分。然而，儿童觉得肛门指诊不舒服，而且我们感觉医生对进行直肠指检的坚持程度在降低。我们对直肠指检进行了一次审查，并评估其对急性腹痛儿童的治疗是否有任何影响。我们查看了1989年48名腹痛儿童和1985年49名腹痛儿童的记录。我们发现这段时间直肠指检的比例减半。两组的诊断准确率相似，发病率也相同。这些发现让人质疑对疑似阑尾炎儿童进行常规直肠指检的必要性。
