包小英，刘翠清甘肃中医药大学附属医院，甘肃兰州730020



急性重症胰腺炎中医护理干预疗效分析

包小英，刘翠清
甘肃中医药大学附属医院，甘肃兰州730020

［摘要］目的：探讨急性重症胰腺炎( Severe Acut e Pancreat i t i s，SAP)中医护理干预方法。方法：将48例患者随机分为对照组、观察组各24例，对照组给予常规护理，观察组在对照组护理的基础上给予中医辨证护理。观察2组腹痛显著减轻时间、血尿淀粉酶恢复正常时间及住院时间改善情况。结果：腹痛显著减轻时间、血尿淀粉酶恢复正常时间及住院天数观察组均短于对照组(P＜0.05)。结论：中医护理干预能够改善SAP患者临床症状。

［关键词］胰腺炎；护理；中医药

Analysis of Clinical Effects of TCM Nursing Intervention for the Patients with Severe Acute Pancreatitis

BAO Xiaoying,LIU Cuiqing
University Hospital of Gansu Traditional Chinese Medicine,Lanzhou 730020,China

AbstractObjective:To explore TCM nursing intervention for the patirnts with severe acute pancreatitis (SAP).Methods:All 48 patients were randomized into the control group and the observation group.The control group accepted routine care,the observation group syndrome differentiation and nursing on the foundation of the care the control group accepted,allievation time of abdominal pain significantly,the time of serum and urine amylase return to normal and hospitalization time were observed in both groups.Results:The observation group was shorter than the control group in allievation time of abdominal pain significantly,the time of serum and urine amylase return to normal and hospitalization time (P＜0.05).Conclusion:TCM nursing intervention could improve clinical symptoms of SAP patients.

Keywords pancreatitis;nursing;TCM

急性重症胰腺炎( Severe Acute Pancreatitis，SAP)是多种病因导致胰酶在胰腺内被激活后引起胰腺及其周围组织自我消化所致的急性炎症，以上腹部突发疼痛、恶心、呕吐、发热等为主要临床症状，可引起多器官功能障碍、休克甚至死亡，具有起病急骤，病情凶险，病死率高的特点。在SAP的临床诊疗过程中，中医护理发挥着重要的作用［1］。近年来，笔者将中医护理措施应用于SAP的诊疗过程中，效果满意，现报道如下：

1　资料与方法

1.1临床资料将2010年1月至2014年4月就诊的48例SAP患者随机分为2组。观察组24例，其中男16例，女8例；年龄26～50岁，平均47岁；发病至入院时间4～48小时；发病原因：胆道疾病7例，暴饮暴食6例，酗酒5例，高脂血症4例，其他不明原因2例。对照组24例，其中男15例，女9例；年龄26～50岁，平均48岁；发病至入院时间3～48小时；发病原因：胆道疾病8例，暴饮暴食5例，酗酒4例，高脂血症4例，其他不明原因3例。……