重症坏死性胰腺炎的术后临床护理分析.docVIP

精品论文 参考文献 重症坏死性胰腺炎的术后临床护理分析 张付娟 （商丘市第一人民医院重症医学科ICU 河南商丘 476100） 　　[摘要]目的：探讨对重症坏死性胰腺炎手术之后进行临床护理所取得的效果。方法：选择曾在我院进行治疗的重症坏死性胰腺炎患者60例，所有患者均利用手术方法进行治疗，将其分为数量相等的两组，分别作为观察组与对照组，观察组患者接受综合护理，对照组患者以常规方法来进行护理。结果：完成护理治疗之后，比较两组患者的护理效果，观察组中患者的护理总有效率为93.3%，对照组中患者的总有效率为73.3%，两组患者之间差异明显；比较两组患者的护理满意率，观察组中患者的护理满意率明显高于对照组，两组患者之间差异明显。结论：对于重症坏死性胰腺炎患者，手术之后对其行综合护理，能够取得十分理想的临床效果，能够使治疗有效率得以提高，并且能够使患者的护理满意率得以提高，可进行进一步推广。 　　关键词：重症坏死性胰腺炎；术后护理；临床效果 　　Clinical nursing analysis of severe necrotizing pancreatitis 　　Zhang Fujuan (ICU Shangqiu, Henan,) 　　Abstract Objective: To investigate the effect of clinical nursing after surgery for severe necrotizing pancreatitis. Methods: 60 patients with severe acute necrotizing pancreatitis who were treated in our hospital were treated by surgical treatment. The patients were divided into two groups, the observation group and the control group. The control group was treated with routine method. Results: after nursing care, the nursing effect of the two groups were compared, the total effective rate was 93.3% in the observation group, the total effective rate was 73.3% in the control group, the difference was obvious between the two groups, the nursing satisfaction rate of the two groups were significantly higher than those in the control group, the difference was obvious between the two groups. Conclusion: for the patients with severe necrotizing pancreatitis, after surgery, the comprehensive nursing care, can achieve very good clinical effect, can improve the treatment efficiency, and can improve the satisfaction rate of nursing, can be further promoted. 　　Key words: severe necrotizing pancreatitis; postoperative nursing; clinical effect 　　重症坏死性胰腺炎也叫做出血坏死性胰腺炎，该疾病主要是由于胰腺外的蛋白酶与脂肪酶等消化酶对于胰腺自身消化，胰腺组织被破坏，并且对血管壁造成损害，导致出血以及胰腺坏死，有脂肪滴、被酶消化组织以及血性渗液存在于腹腔内，是一种十分严重的腹外科疾病。该疾病的临床特点为起病比较急、变化较快以及容易损害全身多种脏器，往往会有休克发生，并发症比较多，有很高的死亡率[1]。本文选择曾在我院进行手术治疗的重症坏死性胰腺炎患者，分别对其进行常规护理与综合护理，并且对两种护理方法的临床效果进行分析，现报告如下。 　　1.资料与方法 　　1.1资料来源 　　资料来源于曾在我院进行治疗的60例重症坏死性胰腺炎患者。所有患者均与重症坏死性胰腺炎临床诊断标准相符合。将这些