风险管理联合常规干预在Na2SO4·10H2O腹壁外敷治疗重症急性胰腺炎患者中的效果观察  

Effect of risk management combined with routine intervention in the external application of Na2SO4·10H2O abdominal wall in patients with severe acute pancreatitis

作　　者：陆牡丹[1] 郑春燕[1] 周一农[1] LU Mudan;ZHENG Chunyan;ZHOU Yinan(Department of General Surgery, Quzhou People's Hospital Zhejiang Province, Quzhou 324000, China)

机构地区：[1]浙江省衢州市人民医院普外科

出　　处：《中国现代医生》2019年第20期161-164,共4页China Modern Doctor

基　　金：浙江省中医药科技计划(2014ZB133)

摘　　要：目的探讨重症急性胰腺炎患者使用风险管理联合常规干预的方法在Na2SO4·10H2O腹壁外敷治疗中治疗重症急性胰腺炎的效果及其预后。方法选取2017年5~10月在我院确诊为重症急性胰腺炎的患者40例,将其随机分配为对照组和研究组;对照组患者将采用一般常规护理方法进行护理,研究组患者则在对照组患者的护理方法的基础上增加风险管理护理方法进行护理;分析对比两组患者恢复正常状态所花的时间、住院时间与费用以及两组患者治疗前后血清白蛋白的变化情况。结果研究组患者的住院时间与治疗费用均明显低于对照组(P<0.05),在两组患者的治疗过程中,患者的血清白蛋白指标与治疗前相比,血清白蛋白趋于正常,但研究组患者的血清白蛋白指标优于对照组,差异有统计学意义(P<0.05)。结论在治疗重症急性胰腺炎的过程中,采用风险管理联合常规干预的方法能更好的达到治疗的理想效果,可以有效的在减少治疗时间的同时保证治疗质量,降低治疗费用,减轻患者经济负担;是治疗重症急性胰腺炎的首选方法,应在临床治疗中广泛推广应用。Objective To analyze and observe the effect and prognosis of risk management and conventional intervention in the treatment of severe acute pancreatitis with Na2SO4·10H2O abdominal wall external application in patients with severe acute pancreatitis. Methods 40 patients with severe acute pancreatitis diagnosed in our hospital from May to October 2017 were randomly divided into the control group and the study group. The control group patients were treated with general routine nursing methods. The patients in the study group were given risk management nursing based on the nursing methods of the control group. The time, hospitalization time and cost of returning to normal state in the two groups of patients and the changes of serum albumin before and after treatment in the two groups were analyzed. Results The hospitalization time and treatment cost in the study group was significantly lower than that of the control group(P<0.05). In the treatment of the two groups, the serum albumin index of the patient was normal compared with that before treatment. However there was a significant advantage in the serum albumin index of the study group compared with that of the control group, and the difference was statistically significant(P<0.05). Conclusion In the treatment of severe acute pancreatitis, risk management combined with routine intervention can better achieve the ideal effect of treatment, which can effectively reduce the treatment time while ensuring the treatment quality, reducing the treatment cost and reducing the economic burden of patients. It is the first choice for the treatment of severe acute pancreatitis and should be widely used in clinical treatment.

关 键 词：Na2SO4·10H2O腹壁外敷 重症急性胰腺炎 风险管理 常规干预 

分 类 号：R657.5[医药卫生—外科学]