自制外用中药膏方联合护理干预对重症急性胰腺炎患者生活质量的影响

Effect of self-made topical Chinese medicine cream combined with nursing intervention on quality of life in patients with severe acute pancreatitis

目的探讨自制外用中药膏方联合护理干预对重症急性胰腺炎患者生活质量的影响。方法选取2017年1月~2018年1月在我院治疗的50例重症急性胰腺炎患者,采用随机数字表法分为对照组(n=25)及观察组(n=25)。对照组实施常规护理干预,观察组给予自制外用中药膏方干预,比较两组患者疗效、干预前后视觉模拟疼痛评分(VAS)、干预后腹痛腹胀缓解时间、肠功能恢复时间、首次排便时间、住院天数、生活质量(SF-36)评分及干预满意率。结果观察组总有效率(100.00%)显著高于对照组(84.00%)(P<0.05);干预后两组VAS评分均较干预前显著降低,且干预后观察组VAS评分显著低于对照组(P<0.05)。干预后观察组患者腹痛腹胀缓解时间、肠功能恢复时间、首次排便时间、住院天数均显著短于对照组(P<0.05)。干预后两组患者SF-36量表各项分数指标评分均比干预前明显提高(P<0.05),且干预后观察组患者SF-36量表评分显著优于对照组(P<0.05)。观察组患者干预后总满意率为96.00%,显著高于对照组的76.00%(P<0.05)。结论自制外用中药膏方可有效改善重症急性胰腺炎患者腹痛腹胀症状,提升临床疗效及生活质量,促进患者康复,患者满意率高,可推广应用。

Objective To investigate the clinical efficacy of self-made topical Chinese medicine cream in improving the quality of life of patients with severe acute pancreatitis. Methods A total of 50 patients with severe acute pancreatitis admitted to our hospital were enrolled from January 2017 to January 2018. The patients were divided into the observation group and the control group by random number table. The control group(n=25) was treated with routine control inter vention. The observation group(n=25) was treated with self-made topical Chinese medicine cream. The efficacy, the visual analog pain score(VAS) before and after the intervention, the time of remission of abdominal distension and abdominal pain after intervention, the first defecation time, the recovery time of bowel function, the hospitalization time,and the quality of life(SF-36) score and intervention satisfaction rate between the two groups were compared. Results The total effective rate of the observation group(100.00%) was significantly higher than that of the control group(84.00%),(P<0.05). The scores of the two groups after the intervention were significantly lower than those before the intervention,and the VAS score of the observation group was significantly lower than that of the control group after the intervention(P<0.05). After the intervention, the time of remission of abdominal distension and abdominal pain after intervention,the recovery time of bowel function, the first defecation time, the hospitalization time in the observation group were shorter significantly than those in the control group(P<0.05). The SF-36 scores between the two groups after the intervention were significantly higher than those before the intervention, and the SF-36 score of the observation group was significantly better than that of the control group after the intervention(P<0.05). The total satisfaction rate of the intervention group was 96.00%, which was significantly higher than that of the control group(76.00%),(P<0.05). Conclusion Self-made topical traditional Chinese medicine can effectively improve the symptoms of abdominal pain and abdominal distension in patients with severe acute pancreatitis, improve clinical efficacy and quality of life, promote patient recovery, with high patient satisfaction rate, and can be promoted and applied.