持续血液净化配合护理干预治疗重症急性胰腺炎的效果研究  

Effect of Continuous Blood Purification and Nursing Intervention on Severe Acute Pancreatitis

作　　者：秦桂华[1] QIN Gui-hua(Chongqing Fuling Central Hospital,Chongqing,408000 China)

机构地区：[1]重庆市涪陵中心医院,重庆408000

出　　处：《系统医学》2020年第6期179-180,183,共3页Systems Medicine

摘　　要：目的重症急性胰腺炎患者通过持续血液净化与护理干预进行联合治疗,对患者的治疗效果进行研究分析。方法从该院在2016年7月—2019年7月间,收治的重症急性胰腺炎患者中随机抽取40例患者,分为对照组和观察组各20例,对照组患者通过常规方法以及基本的护理干预进行护理治疗,观察组患者则通过持续性血液净化与护理干预进行联合治疗,对两组患者的治疗总有效率以及并发症的发生情况进行比较分析。结果观察组患者获得的临床治疗总有效率为95.0%,对照组患者获得的临床治疗总有效率为65.0%,组间差异有统计学意义(χ^2=15.265,P<0.05)。观察组患者的并发症情况以及概率为:发生菌血症以及脓毒血症的概率为5.0%,5.0%;对照组患者的并发症情况以及概率为:发生菌血症、肝肾衰竭以及脓毒血症的概率为10.0%,15.0%,10.0%(χ^2=10.265,P<0.05)。观察组患者的AMS、TB、pH、HCO3-分别为:(495.62±77.98)U/L、(21.52±5.62)μmol/L、(7.52±0.26)、(22.95±1.24)mmol/L,对照组患者的AMS、TB、pH、HCO3-分别为:(876.51±116.45)U/L、(23.86±6.24)μmol/L、(7.01±0.18)、(16.15±1.02)mmol/L,组间差异有统计学意义(t=5.812、5.729、5.936、5.820,P<0.05)。结论重症急性胰腺炎患者通过持续性血液净化与护理干预进行联合治疗,患者可以得到显著的治疗效果,且并发症的发生概率大大降低,提高了治疗护理的安全性,值得在临床中推广以及应用。Objective To treat patients with severe acute pancreatitis by continuous blood purification and nursing intervention,and to analyze the therapeutic effect of patients.Methods From July 2016 to July 2019 in our hospital,40 patients were randomly selected from the patients with severe acute pancreatitis.The patients were divided into the control group and the observation group,respectively.The control group received routine methods and basic methods.The nursing intervention was used for nursing treatment.The patients in the observation group were treated with continuous blood purification and nursing intervention.The total effective rate of treatment and the occurrence of complications were compared.Results The total effective rate of clinical treatment was 95.0%in the observation group.The total effective rate of clinical treatment was 65.0%in the control group.There was statistically significant difference between the groups(χ^2=15.265,P<0.05).The complications and probability of the observation group were as follows:the probability of bacteremia and sepsis was 5.0%,5.0%;the complications and probability of the control group were:the probability of bacteremia,liver and kidney failure and sepsis was 10.0%,15.0%,10.0%(χ^2=10.265,P<0.05).AMS,TB,pH and HCO3-in the observation group were(495.62±77.98)U/L,(21.52±5.62)mol/L,(7.52±0.26)and(22.95±1.24)mmol/L,respectively.AMS,TB,pH and HCO3-in the control group were:(876.51±116.45)U/L,(23.86±6.24)mol/L,(7.01±0.18),(16.15±1.02)mmol/L,there were significant differences between the groups,with statistical significance(t=5.812,5.729,5.936,5.820,P<0.05).Conclusion Patients with severe acute pancreatitis undergo a combination of continuous blood purification and nursing intervention.Patients can achieve significant therapeutic effects,and the incidence of complications is greatly reduced,which improves the safety of treatment and care,and is worth promoting in the clinic and application.

关 键 词：持续血液净化 护理干预 重症急性胰腺炎 治疗效果 

分 类 号：R47[医药卫生—护理学]