健胃清肠合剂两种方法注入治疗轻症急性胰腺炎麻痹性肠梗阻疗效观察
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摘要
目的:观察健胃清肠合剂应用改良保留灌肠术与传统保留灌肠术治疗轻症急性胰腺炎(MAP)麻痹性肠梗阻(PI)的临床疗效。方法:将轻症MAP麻痹性肠梗阻患者63例随机分为2组,对照组31例在MAP常规治疗护理的基础上实施传统保留灌肠术,观察组32例在MAP常规治疗护理基础上实施"改良保留灌肠术",观察灌肠后2组效果。结果:观察组灌肠后PI症状缓解时间、药液保留时间、总灌肠次数、患者舒适度、实验室检查数据(血清肌酸磷酸激酶CK、C-反应蛋白CRP)均优于对照组,差异有统计学意义(P<005)。结论:"改良保留灌肠术"与传统保留灌肠术比较,"保留灌肠改良术"可延长药液保留时间并保持温度,减少总灌肠次数,缩短MAP性PI症状缓解及CK、CRP恢复时间,提高患者舒适度。
Objective: To observe clinical effects of JianWei QingChang mixture in treating mild acute pancreatitis(MAP) paralytic ileus(PI) through the improved retention enema and traditional retention enema. Methods:Sixty-three MAP patients were randomized into two groups, 31 cases of the control group accepted traditional retention enema on the basis of routine treatment and nursing for MAP, and 32 patients of the observation group improved retention enema on the basis of routine care and treatment, the effects of both groups were observed after the enema. Results: The observation group was superior to the control group in PI symptom relieving time, medicinal liquid retention time, total enema times, the comfort degrees of the patients, lab examination data(serum creatine phosphokinase CK, C reactive protein), and the difference had statistical meaning(P<0.05). Conclusion: Improved retention enema could prolong medicinal liquid retention time of MAP, keep the temperature, reduce total enema times, shorten relieving time of PI symptoms, CK and CRP recovery time, and improve the comfort degrees of the patients.
Objective: To observe clinical effects of JianWei QingChang mixture in treating mild acute pancreatitis(MAP) paralytic ileus(PI) through the improved retention enema and traditional retention enema. Methods:Sixty-three MAP patients were randomized into two groups, 31 cases of the control group accepted traditional retention enema on the basis of routine treatment and nursing for MAP, and 32 patients of the observation group improved retention enema on the basis of routine care and treatment, the effects of both groups were observed after the enema. Results: The observation group was superior to the control group in PI symptom relieving time, medicinal liquid retention time, total enema times, the comfort degrees of the patients, lab examination data(serum creatine phosphokinase CK, C reactive protein), and the difference had statistical meaning(P<0.05). Conclusion: Improved retention enema could prolong medicinal liquid retention time of MAP, keep the temperature, reduce total enema times, shorten relieving time of PI symptoms, CK and CRP recovery time, and improve the comfort degrees of the patients.
引文
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[2]彭淑牖,刘颖斌.重症急性胰腺炎并发肠梗阻的原因和处理[J].中国实用外科杂志,2003,23(9):537-538.
[3]杨维建,李娟.健胃清肠合剂应用于电子结肠镜检查中肠道准备的研究[J].中医学报,2012,27(11):1487-1488.
[4]孙备,苏维宏.2013年国际胰腺病学会与美国胰腺病学会《急性胰腺炎治疗的循证性指南》解读[J].中华消化外科杂志,2013,12(12):937-943.
[5]姜安丽,石琴.新编护理学基础[M].北京:高等教育出版社,¨1999:443.
[6]徐伟英.重症胰腺炎患者置入液囊空肠管时鼻饲大黄的效果观察[J].护理学报,2013,20(6):58-59.
[7]WorkingGroupIAP/APAAcutePancreatitisGuidelines.IAP/APA evidence-based guidelines for the management of acute pancreatitis[J].Pancreatology,2013,13(Suppl 2):l-15.
[8]杨维建,李娟,张超,等.健胃清肠合剂对小鼠肠管运动及胃黏膜的影响[J].西部中医药,2012,25(8):20-22.
[9]康健.局部解剖学[M].北京:科学出版社,2013:316.
[10]林琳,许庆文.实验室检查在绞窄性肠梗阻早期诊断中的意义[J].中医药科学,2012,2(1):33-34.
[11]陈所仙.芒硝外敷加清胰汤灌入辅助治疗重症急性胰腺炎患者的观察及护理[J].中国实用护理杂志,2008,24(10):22-23.