护理干预对急性胰腺炎炎症水平的作用影响  

The effect of special care on the level of inflammation in acute pancueatitis patients

作　　者：夏小芳[1] 金培声[1] 

机构地区：[1]浙江省瑞安市人民医院消化内科,浙江瑞安325200

出　　处：《中国现代医生》2013年第18期114-117,共4页China Modern Doctor

基　　金：浙江省温州市医药卫生科研项目(2012B024)

摘　　要：目的通过对急性胰腺炎患者的特殊护理，探讨其对急性胰腺炎患者炎症因子水平的影响。方法选择我院2012年6～12月收治的48例急性胰腺炎患者作为病例组，将所有患者分为特殊护理组26例（其中重型胰腺炎9例，轻症胰腺炎17例）和-般护理组22例（重症胰腺炎9例，轻症胰腺炎13例）；另外选取29例健康成年人作为对照。对所有患者进行病情监测、基础护理（饮食护理、营养护理、心理护理）、对症支持护理、输液管理，放射介入治疗护理、促进胃肠功能恢复护理、多器官功能衰竭护理以及相关的健康教育和生活指导。分别于入院的第1、4、7天采用ELISA法检测患者血清中促炎因子IL-1、IL-6、IL-8、IL-10、TNF-α以及血小板活化因子（PAF）含量。结果于第4天、第7天明显降低。其中特殊护理组患者的IL-1、IL-6、IL-10于第4天显著低于-般护理组，第7天同一般护理组无显著差异；特殊护理组患者的TNF-α，PAF水平于第1天、第4天与-般护理组无明显差异，于第7天显著低于一般护理组（P〈0．05）。结论急性胰腺炎患者给予特殊护理较传统护理更能促进患者康复。Objective To explore the effect of special care on inflammatory cytokine levels in patients with acute pancreatitis. Methods 48 patients with acute pancreatitis were divided into special care group （n = 26, including 9 cases of severe pancreatitis, 17 cases of mild pancreatitis） and general care group （n = 22, severe pancreatitis 9 cases, mild pancreatitis 13 cases）; 29 healthy adults as a control. Condition monitoring for all patients, basic care （diet care, nu- tritional care, psychological care）, Symptomatic and supportive care, infusion management, radiological intervention nursing care and promote the recovery of gastrointestinal function, multi-organ failure care as well as health education and life guidance. 1,4,7 days in hospitalization, all patients were detected serum pro-inflammatory cytokines IL-1, IL- 6, IL-8, IL-10, TNF-α and platelet-activating factor （PAF） content by ELISA. Results Serum pro-inflammatory cytokine concentrations of all patients significantly higher than the control group in the first day of hospitalization and obvious- ly reduced,in the forth and seventh day. IL-1, IL-6 and IL - 10 levels of the special care group were significantly low- er than the general care group in the fourth day and had no obvious difference in the seventh day, Special care pa- tients and general care group had no obvious difference in the levels of TNF alpha and PAF in the first day and the fourth day of hospitalization,but special care group was significantly less than general care group in the seventh day （P 〈 0.05）. Conclusion The prognosis of patients with acute pancreatitis, the quality of care is particularly important and special care based on clinical practice can improve the prognosis. Such care given to strengthen, enrich, innovation, promote, facilitate the rehabilitation of pancreatitis patients.

关 键 词：急性胰腺炎 基础护理 健康教育 输液管理 

分 类 号：R473.5[医药卫生—护理学]