摘要
目的探讨持续血液净化(CBP)配合护理干预治疗重症急性胰腺炎(SAP)的临床疗效。方法回顾性分析温州医科大学附属医院自2013年6月—2014年6月共收治的40例SAP患者的临床资料,对患者给予胰腺炎常规治疗配合血液净化治疗及护理干预,分别记录治疗前后患者的体温、血压、呼吸等生命体征,并进行APACHEⅡ评分,对比观察治疗前后患者血清淀粉酶、肝肾功能、动脉血气分析等指标,判断病情变化。结果 40例重症急性胰腺炎患者35例治愈出院,5例死亡,存活率为87.5%,持续血液净化治疗时间为(73.8±6.2)h,在持续血液净化治疗和护理后,所有治愈患者病情均得到缓解,各项生命体征及APACHEⅡ评分在治疗前及治疗并护理后差异具有统计学意义(P<0.05);各项生化指标在CBP治疗及治疗并护理后均发生显著改变,其中血清总胆红素(TB)、淀粉酶(AMS)等指标较治疗前下降,比较差异具有统计学意义(P<0.05)。酸碱失衡得到纠正,电解质紊乱得到改善。结论采用持续血液净化配合护理干预治疗重症急性胰腺炎患者效果明显,配合针对性护理干预临床效果满意,建议临床推广。护理人员的配合是治疗过程中不可或缺的,不仅体现在以上这些监测指标的实施及辨别,护理干预更参与到整个治疗过程的始末。
Objective To investigate the clinical effect of continuous blood purification（CBP） combined with nursing in- tervention in the treatment of severe acute pancreatitis （SAP）. Methods The clinical data of 40 cases of SAP in our hos- pital from June,2013 to June,2014 were reviewed. All patients received the conventional therapy cmnbined with blood purification treatment and nursing intervention. The temperature, blood pressure, breathing and other vital signs were recor- ded before and after the treatment. APACHE Ⅱ score was performed to predict the condition of patients. The serum amyl- ase,liver and kidney function, and arterial blood gas analysis were compared before and after the treatment. Results Thirty-five of 40 cases were cured and discharger,5 cases died, with a survival rate of 87.5. The duration of blood purifi- cation was （73.8 ± 6.2） h. After the blood purification and nursing care, the vital signs and APACHE Ⅱ score were im- proved, the difference was significant （ P 〈 0.05 ）. The serum biochemical indexes such as TB and AMS were decreased obviously, the difference was statistically significant （ P 〈 0.05 ）. The acid base imbalance was corrected and electrolyte disorders were improved. Conclusion CBP combined with nursing intervention in the treatment of SAP is effective and satisfactory. The coordination from nursing staffs is essential in the treatment procedure.
出处
《中华全科医学》
2016年第7期1234-1236,共3页
Chinese Journal of General Practice
关键词
急性胰腺炎
血液净化
护理干预
临床疗效
Acute panereatitis
Blood purification
Nursing intervention
Clinical efficacy
