论文部分内容阅读
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 investigate the effect of rhubarb flushing gastric tube in patients with severe pancreatitis and its nursing methods. Methods: Seventy patients with severe pancreatitis treated in our hospital from April 2013 to June 2015 were enrolled in this study. All patients were enrolled in the study. All patients were enrolled in the study and signed informed consent form. According to the random number method, they were divided into two groups, 35 cases in the control group took routine treatment and nursing, while 35 cases in the study group were treated with Rhubarb and gastric tube injection and clinical nursing intervention on the basis of conventional comprehensive treatment and nursing. After treatment, blood amylase and urinary amylase recovery time, abdominal distension, abdominal pain, bowel sounds recovery time, and the time of first defecation and patient satisfaction with nursing were recorded (patients’ Satisfaction with the deepening of service concept to improve service quality) and comparative analysis. Results: There was significant difference between the study group and the control group (P <0.05). The improvement time of abdominal pain, abdominal distension, bowel sounds and other symptoms in the study group were significantly shorter than those in the control group (P <0.05). The satisfaction rate of nursing in study group was 94.29% and that in control group was 85.71%. The study group was slightly higher than the control group, but there was no significant difference between the two groups (P> 0.05). Conclusion: The treatment of severe pancreatitis with Rhubarb water and gastric tube injection, while strengthening clinical nursing intervention can significantly improve the efficacy, shorten the time to improve symptoms and promote faster recovery of patients, is worth learning from.