中西医治疗联合护理干预对急性重症胰腺炎患者临床症状影响  

Impact of Nursing Interventions Combined with Western Medicine on Severe Acute Pancreatitis Clinical Symptoms

作　　者：诸葛玮玮[1] 黄秀芹[1] 黄爱香[2] 

机构地区：[1]温州医科大学附属第一医院消化内科,浙江温州325000 [2]温州医科大学附属第一医院中医科,浙江温州325000

出　　处：《辽宁中医杂志》2015年第8期1470-1472,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:通过对急性重症胰腺炎患者实施中西医结合护理干预治疗来观察其临床应用效果,从而为促进患者康复提供保障。方法:选取2012年12月—2014年12月收治的62例急性重症胰腺炎患者按照随机数字表法分组为对照组与治疗组,各31例。对照组采用生长抑素,3 mg/次,2次/d;静脉推注埃索美拉唑(Astra Zeneca AB,国药准字J20120035,40 mg/支),40 mg/次,2次/d;口服清胰汤,同时采用芒硝外敷外腹部;治疗组于对照组中西医结合治疗基础上实施护理干预。观察两组临床疗效、临床症状及体征缓解时间、生化指标恢复到正常水平时间、不良反应;采用汉密尔顿焦虑量表(HAMA)评价患者治疗前、后焦虑情况。结果:治疗组治疗总有效者28例,占90.3%与对照组20例,占64.5%比较,具有统计学意义,P<0.05;治疗组临床症状及体征缓解时间、生化指标恢复正常所需时间均明显短于对照组,具有统计学意义,P<0.05。两组患者治疗后焦虑评分较治疗前明显下降,但治疗组下降较对照组显著,具有统计学意义,P<0.05。治疗期间两组均未发生明显性不良反应。结论:于中西结合治疗基础上实施护理干预不但可提高临床治疗效果,还可缓解患者焦虑情绪,加速其各项症状及体征、生化指标改善。Objective：To observe the clinical therapeutic effect of the external application of mirabilite and Qingyi Decoction combined with western medicine on patients with severe acute pancreatitis. Methods ：During December 2012 -December 2014,62 cases of severe acute panereatitis were grouped into the control group and the treatment group according to the random number ta- ble, 31 cases in each. The control group： somatostatin, 2 mg/times, twice a day ; pantoprazole 40 mg/times, twice a day ; oral admin- istration of Qingyi Decoction and mirabilite for external application at abdomen. The treatment group added nursing interventions. We compared the clinical efficacy, clinical symptoms and signs of relief time, biochemical indicators time to return to normal levels and adverse reactions. The Hamilton Anxiety Scale （HAMA） was used to evaluate patients＇anxiety. Results ：The total effective ca- ses in treatment group were 28, accounting for 90.3% and in the control group were 20 cases, accounting for 64.5%. There was a statistically significant,P 〈0. 05. The treatment group＇s clinical symptoms and signs of relief time as well as the time required to restore normal biochemical indices were significantly shorter than those of the control group with statistical significance, P 〈 0. 05. After treatment,anxiety scores were significantly decreased compared with those before treatment, but the treatment group＇s was significantly decreased compared with that of the control group, P 〈 0.05. During treatment, both groups had no significant adverse reactions. Conclusion：Chinese and western medicine combined with nursing interventions can not only improve clinical outcomes, but also alleviate patients＇ anxiety and accelerate its symptoms and signs and biochemical indicators of improvement.

关 键 词：清胰汤 芒硝 泮托拉唑 急性重症胰腺炎 护理干预 

分 类 号：R576[医药卫生—消化系统]