重症急性胰腺炎早期鼻饲清胰汤的护理

The experience of clinical nursing on severe acute pancreatitis treated by early nasal feeding Traditional Chinses medicine Qingyi decoction

目的研究对重症急性胰腺炎(SAP)进行早期鼻饲清胰汤护理的有效性。方法通过同期回顾性对照研究对比清胰汤组和未用清胰汤组对C-反应蛋白(CRP)水平反应、膀胱内压测定、肛门排气时间、胰周感染发生率、住院时间、住院费用等各项指标。结果清胰汤鼻饲灌注后4.7dCRP水平及膀胱内压较对照组有明显下降(P=0.002,0.000,P=0.009,0.000),肛门排气时间也明显缩短(P=0.042),胰周感染的发生率明显下降(P=0.033),住院时间及住院费用也明显低于对照组(P=0.036,0.000)。结论清胰汤鼻饲用于SAP的护理,能减少炎症反应、降低腹内压,缩短住院时间及减少住院费用。