急性重症胰腺炎的急诊观察及护理对策.docVIP

精品论文 参考文献 急性重症胰腺炎的急诊观察及护理对策 四川省江油市九〇三医院急诊科 621700 　　摘要 目的：对急诊观察及护理对策应用于急性重症胰腺炎中的临床疗效进行探讨和分析。方法：抽取我院于2015年10月到2016年5月收治的110例急性重症胰腺炎作为实验对象。分成试验组和对照组两组，患者比例设为1:1。试验组护理时予以急诊观察+护理对策的方法，对照组则予以常规护理。比较两组的护理结果。结果：比较组间对护理的满意度，P＜0.05，差异有统计学意义。试验组患者并发症率明显低于对照组，P＜0.05,差异有统计学意义。结论：在急性重症胰腺炎的护理中，利用急诊观察+护理对策的方法，能有效降低患者的并发症率，提升满意度，临床效果好，值得推广。 　　关键词 急诊观察；急性重症胰腺炎；护理对策 　　The Emergency observation and nursing measures of severe acute pancreatitis 　　[Abstract] Objective: the clinical curative effect of emergency observation and nursing countermeasures used in severe acute pancreatitis in discussion and analysis. Methods: selected in our hospital from October 2015 to May 2016, 110 cases of severe acute pancreatitis were treated as experimental subjects. Divided into experimental group and control group two groups, the proportion of patients with a 1:1. test method to the emergency nursing group the observation and nursing measures, the control group received routine nursing care. The results were compared between the two groups. Results: the satisfaction of nursing were compared between groups, P lt; 0.05, the difference was statistically significant. The complication rate of experimental group were significantly lower than the control group, P lt; 0 .05, the difference was statistically significant. Conclusion: in the acute severe acute pancreatitis nursing, the use of emergency observation and nursing measures, can effectively reduce the complications of patients, improve satisfaction, clinical effect is good, it is worth promoting. 　　[Keywords] emergency observation; severe acute pancreatitis; nursing strategy 　　急性重症胰腺炎(Severe acute pancreatitis SAP)主要由多种原因引起的导致人体胰酶在胰腺内被激活后引起胰腺组织自身水肿、消化、出血甚至坏死的炎性反应，其病情凶险，发展迅速，并发症较多，可发生休克和多器官功能衰竭，病死率高达20%一30%[1]。因近几年医疗行业的不断发展，所以对患者实施治疗时，应注意对患者的病情观察并制定相应的护理对策，可降低其并发症的发生，故可提升SAP的治疗疗效。为了评价急诊观察+护理对策的方法对急性重症胰腺炎的影响，我院进行了深入探究。详细报道如下： 　　1资料与方法 　　1.1一般资料 　　经患者同意和医院伦理委员会批准实施，抽取我院于2015年10月-2016年5月间收治的110例SAP作为研究对象，年龄区间是23-65岁，所有的患者均伴随腹胀、腹肌的压痛、紧张以及反跳痛等。采用随机数字表法将患