改进型便携芒硝袋在重症急性胰腺炎患者腹部外敷治疗中的应用
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摘要
目的探讨改进型便携芒硝袋在重症急性胰腺炎患者腹部外敷治疗中的应用效果。方法将2015年5月至2016年1月在本院肝胆外科住院的重症急性胰腺炎患者50例设为对照组,将2016年2月至2017年4月在本院肝胆外科住院的重症急性胰腺炎患者50例设为试验组,两组患者治疗方案均相同,对照组采用自制毛巾袋装入芒硝行腹部外敷,试验组应用改进型便携芒硝袋装入芒硝后行腹部外敷,比较两组患者芒硝袋污染被服、脱落、移位、芒硝聚集发生率和患者腹痛及腹胀缓解的时间、胃肠功能恢复时间的差异。结果试验组患者芒硝袋脱落、移位及芒硝聚集、被服污染发生率低于对照组;腹痛及腹胀缓解的时间和肠鸣音恢复时间均较对照组缩短,两组比较,差异有统计学意义(P<0.05,P<<0.001)。结论改进型芒硝袋可使芒硝均匀分布在重症急性胰腺炎患者腹部外敷部位,不易脱落及移位,从而能够充分发挥芒硝外敷的疗效,并且制作简单、使用方便,值得临床推广应用。
Objective To investigate the clinical effect of improved portable mirabilite bag by abdominal application in the treatment of severe acute pancreatitis. Methods A total of 50 patients with severe acute pancreatitis admitted to our hospital from May2015 to January 2016 were enrolled as the control group, which was treated with traditional self-made towel bag filled with mirabilite for the abdominal application. Another 50 patients with severe acute pancreas hospitalized in our hospital from February 2016 to April 201750 patients as the experimental group, which was treated with improved portable mirabilite bag by abdominal application. The two groups were compared in terms of contamination by clothing, shedding, dislocation, aggregation, abdominal pain, bloating, and recovery time of gastrointestinal function. Results The incidences of shedding and displacement of mirabilite bag, mirabilite accumulation and contamination in the experimental group were lower than those of the control group. The abdominal distension time and bowel sound recovery time were significantly shorter than that in the control group(P <0.05, P <0.001). Conclusions By the improved portable mirabilite bag, the mirabilite can be evenly applied to the external abdomen of the patients. It is simple to make the bag and convenient for the clinical use, worthy of clinical application.
Objective To investigate the clinical effect of improved portable mirabilite bag by abdominal application in the treatment of severe acute pancreatitis. Methods A total of 50 patients with severe acute pancreatitis admitted to our hospital from May2015 to January 2016 were enrolled as the control group, which was treated with traditional self-made towel bag filled with mirabilite for the abdominal application. Another 50 patients with severe acute pancreas hospitalized in our hospital from February 2016 to April 201750 patients as the experimental group, which was treated with improved portable mirabilite bag by abdominal application. The two groups were compared in terms of contamination by clothing, shedding, dislocation, aggregation, abdominal pain, bloating, and recovery time of gastrointestinal function. Results The incidences of shedding and displacement of mirabilite bag, mirabilite accumulation and contamination in the experimental group were lower than those of the control group. The abdominal distension time and bowel sound recovery time were significantly shorter than that in the control group(P <0.05, P <0.001). Conclusions By the improved portable mirabilite bag, the mirabilite can be evenly applied to the external abdomen of the patients. It is simple to make the bag and convenient for the clinical use, worthy of clinical application.
引文
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[8]赵艳梅,菅志远,李玲,等.芒硝腹部热敷袋在重症急性胰腺炎患者中的应用效果观察[J].中华护理杂志,2016,51(10):1240-1243.
[9]王玉梅,梁蒙,滕金红,等.大黄联合芒硝腹部外敷在严重腹腔感染导致的腹腔高压中的应用[J].临床合理用药杂志,2013,6(35):14-16.
[10]吴佳,金颖,陈易,等.芒硝外敷对急性胰腺炎患者肠黏膜屏障功能及预后影响的临床研究[J].中国中西医结合急救杂志,2017,24(6):613-614.
[11]吴继萍.芒硝外敷袋的研制和临床应用[J].护理研究,2011,25(28):2587.
[12]周贤,夏国栋,李昌平,等.芒硝腹部外敷对急性重症胰腺炎疗效研究[J].中国实用医药,2013,8(11):15-17.
[2]YANG Z,MENG X,Xu P.Central role of neutrophil in the pathogenesis of severe acute pancreatitis[J].Journal of Cellular&Molecular Medicine,2015,19(11):2513-2520.
[3]KAIA B,TREPTEC J,TOMKOTTER TTEL L,et al.Effects of thoracic epidural anesthesia on survival and microcirculation in severe acute pancreatitis:a randomized experimental trial[J].Critical Care,2013,17(6):281.
[4]R M,RM S.Severe acute pancreatitis and necrotizing pancreatitis[J].Critical Care Clinics,2016,32(2):279-290.
[5]SKIPWORTH J R,NIJMEIJER R M,VAN SANTVOORTH C,et al.The effect of renin angiotensin system genetic variants in acute pancreatitis[J].Annals of Surgery,2015,261(1):180-188.
[6]马德花,马海军.芒硝外敷联合清胰汤内服治疗重症急性胰腺炎并发肠麻痹疗效观察[J].中国实用医药,2012,7(11):174.
[7]中华医学会消化病学分会胰腺病学组.中国急性胰腺炎诊治指南(2013年,上海)[J].胃肠病学,2013,18(7):428-433.
[8]赵艳梅,菅志远,李玲,等.芒硝腹部热敷袋在重症急性胰腺炎患者中的应用效果观察[J].中华护理杂志,2016,51(10):1240-1243.
[9]王玉梅,梁蒙,滕金红,等.大黄联合芒硝腹部外敷在严重腹腔感染导致的腹腔高压中的应用[J].临床合理用药杂志,2013,6(35):14-16.
[10]吴佳,金颖,陈易,等.芒硝外敷对急性胰腺炎患者肠黏膜屏障功能及预后影响的临床研究[J].中国中西医结合急救杂志,2017,24(6):613-614.
[11]吴继萍.芒硝外敷袋的研制和临床应用[J].护理研究,2011,25(28):2587.
[12]周贤,夏国栋,李昌平,等.芒硝腹部外敷对急性重症胰腺炎疗效研究[J].中国实用医药,2013,8(11):15-17.