中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
141-142
,共2页
重症急性胰腺炎%护理干预%效果
重癥急性胰腺炎%護理榦預%效果
중증급성이선염%호리간예%효과
Severe acute pancreatitis%Nursing intervention%Effect
目的：探讨重症胰腺炎患者的护理干预效果。方法：2013年4月-2014年9月收治重症急性胰腺炎患者40例，随机分成干预组和对照组各20例，两组患者均禁食、给予胃肠减压、吸氧、肠外营养、稳定电解质、同时给予奥曲肽0.1 mg皮下注射，3次/d，连续治疗6 d。对照组进行一般的常规护理，干预组在对照组的基础上进行护理干预，具体干预措施：加强生命体征的护理观察、加强治疗中的护理干预、保持呼吸道畅通、进行肾功能护理干预、加强心理护理干预。结果：干预组腹痛消失时间及血清、尿液淀粉酶恢复正常时间明显低于对照组，两组比较有统计学意义(P＜0.05)。干预组显效16例，有效3例，无效1例，总有效率95.0%。对照组显效9例，有效5例，无效7例，总有效率65.0%，两组比较有统计学意义(P＜0.05)。结论：加强对重症胰腺炎患者的护理干预可以明显提高临床疗效，值得临床推广。
目的：探討重癥胰腺炎患者的護理榦預效果。方法：2013年4月-2014年9月收治重癥急性胰腺炎患者40例，隨機分成榦預組和對照組各20例，兩組患者均禁食、給予胃腸減壓、吸氧、腸外營養、穩定電解質、同時給予奧麯肽0.1 mg皮下註射，3次/d，連續治療6 d。對照組進行一般的常規護理，榦預組在對照組的基礎上進行護理榦預，具體榦預措施：加彊生命體徵的護理觀察、加彊治療中的護理榦預、保持呼吸道暢通、進行腎功能護理榦預、加彊心理護理榦預。結果：榦預組腹痛消失時間及血清、尿液澱粉酶恢複正常時間明顯低于對照組，兩組比較有統計學意義(P＜0.05)。榦預組顯效16例，有效3例，無效1例，總有效率95.0%。對照組顯效9例，有效5例，無效7例，總有效率65.0%，兩組比較有統計學意義(P＜0.05)。結論：加彊對重癥胰腺炎患者的護理榦預可以明顯提高臨床療效，值得臨床推廣。
목적：탐토중증이선염환자적호리간예효과。방법：2013년4월-2014년9월수치중증급성이선염환자40례，수궤분성간예조화대조조각20례，량조환자균금식、급여위장감압、흡양、장외영양、은정전해질、동시급여오곡태0.1 mg피하주사，3차/d，련속치료6 d。대조조진행일반적상규호리，간예조재대조조적기출상진행호리간예，구체간예조시：가강생명체정적호리관찰、가강치료중적호리간예、보지호흡도창통、진행신공능호리간예、가강심리호리간예。결과：간예조복통소실시간급혈청、뇨액정분매회복정상시간명현저우대조조，량조비교유통계학의의(P＜0.05)。간예조현효16례，유효3례，무효1례，총유효솔95.0%。대조조현효9례，유효5례，무효7례，총유효솔65.0%，량조비교유통계학의의(P＜0.05)。결론：가강대중증이선염환자적호리간예가이명현제고림상료효，치득림상추엄。
Objective:To investigate the nursing intervention effect on patients with severe acute pancreatitis.Methods:40 patients with severe acute pancreatitis were selected from April 2013 to September 2014.They were randomly divided into the intervention group and the control group with 20 cases in each.Patients in the two groups were treated with jejunitas,gastrointestinal decompression,oxygen inhalation,parenteral nutrition and stable electrolyte,in addation,also given subcutaneous injection of octreotide 0.1 mg,3 times perday,and treatment for 6 days.The control group were taken conventional care,while the intervention group were given nursing intervention based on the conventional care given in the control group.The specific intervention measures included:strengthening the nursing observation of vital signs,strengthening nursing intervention in the treatment,keeping the respiratory tract unobstructed,nursing intervention on renal function,and strengthening the psychological nursing intervention. Results:The time of abdominal pain disappeared,and the time of serum and urine amylase returned to normal in the intervention group were significantly lower than those in the control group,and the differences were statistically significant between two groups(P<0.05).In the intervention group,the treatment effect were excellent in 16 cases,3 cases were effective;1 cases was invalid;the total efficiency was 95%;while in the control group,there were 9 cases with markedly effective;5 cases were effective;7 cases was invalid;the total efficiency was 65%;the difference was statistically significant between two groups(P<0.05).Conclusion:Strengthening the nursing intervention on the patients with severe acute pancreatitis can significantly improve the clinical efficacy, so it is worthy of clinical promotion.
