腹内压监测联合血液滤过治疗重症急性胰腺炎5例临床护理

Clinical nursing care in the treatment of severe acute pancreatitis by means of monitoring intra - abdominal pressure combined with hemofiltration therapy

目的:探讨腹内压监测联合血液滤过在重症急性胰腺炎患者(SAP)中的应用及护理方法。方法:将10例SAP患者随机分成实验组和对照组各5例,对照组给予常规治疗护理,实验组给予腹内压监测联合血液滤过治疗,并做好针对性护理。观察、比较两组治疗护理后腹内压、APACHEⅡ评分、病死率等情况。结果:实验组腹内压、APACHEⅡ评分及病死率与对照组比较差异均有统计学意义(P<0.05)。结论:腹内压监测联合血液滤过治疗SAP效果确切,针对性护理可有效提高治疗效果,改善预后。

Objective：To investigate the application of monitoring intra - abdominal pressure combined with hemofiltration therapy and nursing methods in the treatment of severe acute pancreatitis.Methods：10 patients with severe acute pancreatitis were randomly divided into experimental and control groups（5 cases for each group）.The patients in the control group received routine treatment and nursing care and the patients in the experimental group were given intra - abdominal pressure monitoring combined with hemofiltration therapy and targeted nursing care.The intra - abdominal pressure,APACHEⅡscores and case fatality rate were observed and compared between the two groups after treatment and nursing care.Results：There were statistically significant differences in the comparison of intra - abdominal pressure,APACHEⅡscores and case fatality rate between the two groups（P〈0.05）.Conclusion：The effect of intra - abdominal pressure monitoring combined with hemofiltration therapy in the treatment of severe acute pancreatitis is definite and the targeted nursing care can improve the effectiveness of treatment and prognosis.