大黄冲水胃管注入治疗重症胰腺炎临床观察及护理  

Clinical Observation and Nursing of Rhubarb Flushing Gastric Tube Injection in the Treatment of Severe Acute Pancreatitis

作　　者：陈芳玲 郑春燕 张嘉丽 叶雪霞 

机构地区：[1]深圳市龙华新区人民医院,广东深圳518109

出　　处：《辽宁中医药大学学报》2017年第6期148-150,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：广东省自然科学基金资助项目(S2012040007674)

摘　　要：目的:探讨重症胰腺炎患者采取大黄冲水胃管注入治疗效果及其护理方法。方法:选取我院2013年4月—2015年6月接诊的重症胰腺炎患者70例作为研究对象,入选患者均有完整临床资料,自愿接受本次研究并签署知情同意书。按照随机数字法将他们分为2组,对照组35例采取常规治疗与护理,而研究组35例在常规综合治疗与护理基础上加用大黄冲水胃管注入治疗与临床针对性护理干预。观察记录两组患者治疗后血淀粉酶与尿淀粉酶恢复正常时间,腹胀、腹痛、肠鸣音恢复时间,以及首次排便时间与患者对护理满意率(通过对病人的调查,了解患者对护理工作的满意程度,以深化服务概念提高服务质量)并对比分析。结果:研究组患者血淀粉酶与尿淀粉酶恢复正常时间与对照组比较差异有统计学意义(P<0.05);研究组腹痛、腹胀及肠鸣音等症状改善时间、首次排便时间均明显短于对照组(P<0.05);研究组患者对护理满意率为94.29%,对照组则为85.71%,研究组稍高于对照组,但组间比较无统计学意义(P>0.05)。结论:重症胰腺炎患者采取大黄冲水胃管注入治疗,同时加强临床针对性护理干预,能明显改善疗效,缩短症状改善时间,促进患者更快康复,值得借鉴。Objective： To explore the therapeutic effects of Rhubarb flushing gastric tube injection in severe pancreatitis patients and its nursing methods. Methods ： 70 cases of patients with severe acute pancreatitis admitted in our hospital from April 2013 to June 2015 were selected for the research. All the patients were selected with complete clinical data and voluntarily accepted the research and signed informed consent. They were divided into two groups according to the random number method： 35 cases of patients in the control group were treated with conventional therapy and nursing, and 35 cases of patients in the study group were given Rhubarb flushing gastric tube injection therapy and clinical targeted nursing intervention on the basis of conventional comprehensive treatment and nursing. The normal recovery time of blood amylase and urine amylase, the recovery time of abdominal distension, abdominal pain, bowel sound, and the first defecation time and nursing satisfaction rate of the patients （ through investigation, knowledge of the patients satisfaction for nursing work to deepen service concept and improve the quality of service ）were observed and recorded and comparatively analyzed in the two groups after treatment. Results ： There was a significant difference in the normal recovery time of blood amylase and urinary amylase between the study group and the control group （P〈0.05）. The improving time of abdominal pain, abdominal distension and bowel sounds and the first defecation time were significantly shorter in the study group than those in the control group （ P〈0.05 ）. The satisfaction rate of the patients was 94.29% in the study group and 85.71% in the control group. The rate in the study group was slightly higher than that in the control group, but there was no significant difference between the two groups （ P〉0.05 ）. Conclusion ： Severe pancreatitis patients with Rhubarb flushing gastric tube injection treatment accompany by strengthening the clinical targeted care interve

关 键 词：重症胰腺炎 大黄 冲水 胃管注入 观察 护理 

分 类 号：R576[医药卫生—消化系统]