急性重症胰腺炎患者并发症Binder's评分与护理

Binder's Grading and nursing of severe acute pancreatitis combined with complication

目的探讨急性重症胰腺炎患者并发症Binder蒺s评分及其护理意义。方法通过120例急性重症胰腺炎患者临床资料回顾性分析,了解与急性重症胰腺炎病死率有关的并发症,分析器官和代谢并发症Binder蒺s评分与病死率关系,并根据患者临床表现,采取有效的护理措施。结果急性重症胰腺炎器官或代谢并发症综合评分≥7分组与<7分组,两组病死情况经字2检验,字2=44.8,有显著性差异(P<0.01)。≥7分组病死率高于7分组,与病死率有关的并发症为ARDS、休克、胰性脑病、全腹膜炎。结论并发症Binder蒺s评分与病死率有密切关系。休克、ARDS、胰性脑病、全腹膜炎是影响病死率主要因素,护理对策是针对急性重症胰腺炎原发病,做好评估,针对性实施护理。防治致死性并发症以降低病死率。

Objective To st u dy the Binder's grading and nursing of severe acute pancreatitis(SAP)combined w ith complication.Methods The clinical data of120SAP patients were analyzed in a retrospective way to understand the relations between the mortalities and the Bi nder's grading of organic or metabolic complication by SAP as well as to summar ize the nursing measures taken.Res ults Comparing those with Binder's grades of organic or metabolic complication≥7with those with grades<7,we found significa nt differences by2 test between them(2 =44.8,P<0.01).Those complications involving mortality included ARDS,shock,pa ncreatic cerebral diseases and whole peritonitis.Conclus ion Binder's Grades of complication are closely related to the mortality.Shock,ARDS,pancreatic cerebra l diseases and whole peritonitis are main factors leading death.In nursing,measu res to be taken include right evaluation of the complication,expectant nursing a nd prevention of deadly complications to lower the mortality.