生大黄联合芒硝内服外用配合循证护理在重症急性胰腺炎护理中的应用价值

Application Value of Oral Administration of Radix Et RhizomaRhei and External Application of Natrii Sulfas Combined with Evidence-based Nursing in Nursing for Severe Acute Pancreatitis

目的:观察生大黄、芒硝内服外用配合循证护理在重症急性胰腺炎(SAP)护理中的应用价值。方法:将SAP患者78例随机分为2组,对照组39例在常规治疗的基础上配合循证护理,观察组39例在对照组的基础上加用生大黄内服、灌肠,芒硝脐部热敷;观察2组临床疗效,记录各项时间指标,并比较2组感染率、死亡率。结果:总有效率观察组为92.31%,对照组为74.36%,2组比较,差异有统计学意义(P<0.05)。治疗后,观察组腹痛缓解时间、腹胀缓解时间、肠鸣音恢复时间、首次排便时间及住院时间均显著低于对照组,差异有统计学意义(P<0.05)。感染率、病死率观察组分别为7.69%、5.13%,对照组分别为25.64%、12.82%;观察组感染率显著低于对照组(P<0.05),2组病死率比较则差异无统计学意义(P>0.05)。结论:对SAP患者应用大黄内服、灌肠联合芒硝脐部热敷,配合循证护理,可显著提高临床治疗效果,降低时间指标,并减少感染率。

Objective:To observe the application value of oral administration of Radix et RhizomaRhei and external application of Natrii Sulfas combined with evidence-based nursing in nursing for severe acute pancreatitis(SAP).Methods:A total of 78 cases of SAP patients were randomly divided into two groups,39 cases in each group.The control group was additionally given evidence-based nursing based on routine treatment,and the observation group was additionally treated with oral administration of Radix et RhizomaRhei and hot compress of Natrii Sulfas on umbilicus based on the treatment of the control group.The clinical effect in the two groups was observed;the time indexes were recorded;the infection rates and mortality rates in the two groups were compared.Results:The total effective rate was 92.31%in the observation group and 74.36%in the control group,the difference being significant(P<0.05).After treatment,the remission time of abdominal pain and abdominal distension,the recovery time of bowel sound,the first defecation time and the hospitalization time in the observation group were obviously shorter than those in the control group,the difference being significant(P<0.05).The infection rate was 7.69%in the observation group and 25.64%in the control group,and the mortality rate was 5.13%in the observation group and 12.82%in the control group;the infection rate in the observation group was obviously lower than that in the control group(P<0.05),and there was no significant difference being found in the comparison of the mortality rates between the two groups(P>0.05).Conclusion:The application of Radix et RhizomaRhei and hot compress of Natrii Sulfas on umbilicus combined with evidence-based nursing can significantly improve clinical effect and decrease the time indexes and infection rate.