中西医结合护理对胰腺炎急性反应期的护理效果分析  

Nursing Effect of Integrated Traditional Chinese and Western Medicine Nursing on Acute Response Period of Pancreatitis

作　　者：陈丽娇 CHEN Lijiao(Zhangzhou Traditional Chinese Medicine Hospital,Zhangzhou 363000,China)

机构地区：[1]漳州市中医院,福建漳州363000

出　　处：《中外医学研究》2023年第25期105-109,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨中西医结合护理对胰腺炎急性反应期的护理效果。方法:选择2021年6月—2022年6月于漳州市中医院接受治疗的80例胰腺炎急性反应期患者作为本次研究对象,按照随机数表法将其分为试验组和对照组,各40例。对照组给予常规护理,试验组在对照组的基础上给予中西医结合护理。比较两组的临床症状恢复时间、血清炎症因子[白细胞介素-6(IL-6)、白细胞介素-15(IL-15)、肿瘤坏死因子-α(TNF-α)]水平、肠道屏障功能[血清淀粉酶(AMS)、D-乳酸和二胺氧化酶(DAO)]及并发症发生率。结果:试验组临床症状恢复时间显著早于对照组,差异有统计学意义(P<0.05)。干预后,试验组IL-6、IL-15、TNF-α水平均显著低于对照组,差异有统计学意义(P<0.05)。干预后,试验组AMS、D-乳酸、DAO水平均显著低于对照组,差异有统计学意义(P<0.05)。试验组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:中西医结合护理应用于胰腺炎急性反应期患者能促进患者临床症状恢复、降低炎症反应,加强肠道屏障功能,降低并发症发生率。Objective:To explore the nursing effect of integrated traditional Chinese and western medicine nursing on acute response period of pancreatitis.Method:A total of 80 acute response period of pancreatitis patients who received treatment at Zhangzhou Traditional Chinese Medicine Hospital from June 2021 to June 2022 were selected as the subjects of this study.They were randomly divided into experimental group and control group using a random number table method,with 40 patients in each group.The control group received routine nursing,while the experimental group received integrated traditional Chinese and western medicine nursing on the basis of the control group.The clinical symptom recovery time,serum inflammatory factors[interleukin-6(IL-6),interleukin-15(IL-15),tumor necrosis factor-α(TNF-α)]levels,intestinal barrier function[serum amylase(AMS),D-lactate,and diamine oxidase(DAO)]and incidence of complications between the two groups were compared.Result:The recovery time of clinical symptoms in the experimental group were significantly earlier than those in the control group,the differences were statistically significant(P<0.05).After intervention,the levels of IL-6,IL-15,TNF-αin the experimental groups were significantly lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the levels of AMS,D-lactate,and DAO in the experimental group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the experimental group was significantly lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of integrated traditional Chinese and western medicine nursing in the acute response period of pancreatitis patients can accelerate the recovery of clinical symptoms,reduce inflammatory reactions,strengthen intestinal barrier function,and reduce the incidence of complications.

关 键 词：中西医结合护理 胰腺炎 急性反应期 肠道屏障功能 

分 类 号：R473.5[医药卫生—护理学]