柴芩承气汤保留灌肠联合新斯的明穴位注射治疗中重症急性胰腺炎麻痹性肠梗阻的护理观察  

Nursing observation of Chaiqin Chengqi Decoction retention enema combined with neostigmine Zusanli acupoint injection in the treatment of severe acute pancreatitis paralytic ileus

作　　者：刘忠丽[1] 冯勇[1] 蒲静[1] 尚倩倩[1] 王娟[1] 罗霞[1] LIU Zhongli;FENG Yong;PU Jing;SHANG Qianqian;WANG Juan;LUO Xia(Central Hospital of Mianyang City,Sichuan Province,Mianyang,621000)

机构地区：[1]四川省绵阳市中心医院,绵阳621000

出　　处：《当代护士（中旬刊）》2022年第5期62-64,共3页Modern Nurse

摘　　要：目的观察柴芩承气汤保留灌肠联合足三里穴位注射(新斯的明)对中重症急性胰腺炎麻痹性肠梗阻的影响。方法选取2016年6月—2018年8月本院收治的180例中重症急性胰腺炎合并麻痹性肠梗阻患者,采用随机数字表法将其分为研究组和对照组,每组各90例;对照组接受常规西医治疗,研究组在此基础上接受柴芩承气汤保留灌肠以及足三里穴位注射(新斯的明),对比分析两组患者临床症状改善情况和患者满意度。结果治疗后,研究组患者腹痛、腹胀、恶心、呕吐等临床症状的改善率,排气、排便率以及患者满意度均优于对照组(P<0.05)。结论柴芩承气汤改良保留灌肠联合足三里穴位注射(新斯的明)疗效确切,且可改善患者胃肠功能,提高患者满意度。Objective To observe the effect of Chaiqin Chengqi Decoction retention enema combined with Zusanli point injection(neostigmine)on paralytic ileus caused by moderate to severe acute pancreatitis.Methods A total of 180 patients with severe acute pancreatitis complicated with paralytic ileus treated in our hospital from June 2016 to August 2018 were selected and divided into study group and control group by random number table method,with 90 cases in each group.The control group received conventional western medicine treatment,on this basis,the study group received Chaiqin Chengqi Decoction retention enema and Zusanli point injection(neostigmine),and the improvement of clinical symptoms and patient satisfaction were compared and analyzed between the two groups.Results After treatment,the improvement rate of abdominal pain,abdominal distension,nausea and vomiting,and exhaust,defecation rate and patient satisfaction in the study group were better than those in the control group(P<0.05).Conclusion Chaiqin Chengqi Decoction modified retention enema combined with Zusanli acupoint injection(neostigmine)is effective,and can improve patients'gastrointestinal function and improve patient satisfaction.

关 键 词：急性胰腺炎 麻痹性肠梗阻 柴芩承气汤 保留灌肠 新斯的明 穴位注射 

分 类 号：R473.5[医药卫生—护理学]