内镜下胰腺包裹性坏死物质清除术的中西医结合护理体会

Nursing Experience of Integrated Traditional Chinese and Western Medicine in Endoscopic Clearance of Pancreatic Encapsulated Necrotic Substances

目的探讨中西医结合护理模式在内镜下胰腺包裹性坏死物质清除术中的应用。方法10例重症胰腺炎胰腺包裹性坏死患者行内镜下包裹性坏死清创引流术,围手术期应用中西医结合的护理模式,观察治疗成功率及并发症情况。西医的特色护理主要是术中的护理配合,中医的特色护理是综合使用穴位按摩、针灸、中药等中医学手段,改善患者的术前精神状况、睡眠情况,防治术后出血、腹胀、腹痛等并发症。结果9例经内镜治疗成功,成功率90.0%,有1例行开腹手术治疗,未发生严重并发症和死亡。结论内镜下胰腺包裹性坏死物质清除术安全有效,中西医结合的护理模式在内镜下胰腺包裹性坏死物质清除术的围手术护理中有良好疗效。

Objective To investigate the application of integrated care model of traditional Chinese and western medicine in endoscopic material removal for pancreatic encapsulated necrosis.Methods Ten patients with severe pancreatitis and pancreatic encapsulated necrosis were treated with endoscopic wrapped necrosis debridement and drainage,and the nursing mode of integrated traditional Chinese and western medicine was applied in the perioperative period,the success rate of treatment and complications were observed.The characteristic nursing of western medicine was mainly the intraoperative nursing cooperation,while the characteristic nursing of traditional Chinese medicine was the comprehensive use of acupoint massage,acupuncture,traditional Chinese medicine and other traditional Chinese medicine means to improve the preoperative mental status and sleep of patients,and prevent postoperative bleeding,abdominal distension,abdominal pain and other complications Results Nine cases were successfully treated by endoscopy,and the success rate was 90.0%.One case underwent open abdominal surgery without serious complications and death.Conclusion Endoscopic material removal for pancreatic encapsulated necrosis is safe and effective.The nursing mode of integrated traditional Chinese and western medicine has good effect in perioperative nursing of endoscopic pancreatic encapsulated necrosis material removal.