选择性动脉介入治疗与静脉给药治疗急性坏死性胰腺炎的临床观察和护理.DOCVIP

临床医学论文-选择性动脉介入治疗与静脉给药治疗急性坏死性胰腺炎的临床观察和护理 【摘要】? 目的? 探讨选择性动脉介入治疗与静脉注药治疗急性坏死性胰腺炎患者的临床观察和护理措施。方法? 将103例急性坏死性胰腺炎患者随机分为两组。55例接受静脉注药治疗（对照组），48例患者接受选择性动脉介入治疗（介入组）。观察并记录患者的血清淀粉酶恢复天数、并发症发生率、禁食天数、疼痛缓解时间、住院天数以及心理压力评分等方面。结果? 分析对照组和介入组的临床疗效，两者死亡率分别为18.2%和4.17%，差异有显著性（P＜0.05）。对照组并发症发生率明显高于介入组（34.5% vs 16.7%，P＜0.05）。淀粉酶恢复正常的时间介入组早于对照组，差异有非常显著性（P＜0.001）。介入组住院天数、禁食天数以及疼痛缓解时间均少于对照组，经统计学处理显示两组差异有非常显著性（P＜0.001）。介入组的心理评分明显高于对照组。结论? 对比选择性动脉介入治疗与静脉注药治疗急性坏死性胰腺炎疗效，前者可有效提高抢救成功率，能更好地减少严重并发症出现，降低死亡率，缩短住院时间，康复快，减少了患者的痛苦。??? ??? 【关键词】? 急性坏死性胰腺炎? 介入治疗? 静脉注药? 护理??????????????? 【Abstract】? Objective? To investigate the clinical value and nursing care measures of selective artery interventional therapy and intravenous therapy in acute necrotizing.Methods? One hundred and three cases of acute necrotizing pancreatitis were assigned into two groups：55 cases were treated with intravenous(control group) and 48 cases were treated with selective artery interventional therapy (interventional group).The day of recovery blood amylolytic enzyme，the rate of complication，the day of absolute diet，the day of easement of pain and hospitalization and the scores of patient psychological were observed and noted.Results? Mortality was higher in the intravenous therapy group than in the interventional therapy group (16.4% vs 4.17%，P＜0.05).In patients treated with intravenous therapy，the incidence of complications rate was 34.5%，while in the interventional therapy group the incidence of complications rate was 16.7%.The average days of hospitalization and absolute diet in interventional group were less than in the control group.The scores of patient psychological in interventional group was far higher than in the control group.Conclusion?The interventional therapy is more effective than in intravenous therapy in acute necrotizing pancreatitis.The interventional therapy can reduce the mortality and the days of easement of pain and hospitalization.All of these decrease the anguish of the patients.牋?牋?【Key words】?