急性重症胰腺炎合并肠麻痹患者应用个体化护理效果.docVIP

急性重症胰腺炎合并肠麻痹患者应用个体化护理效果 　　【摘要】 目的：探讨急性重症胰腺炎并发肠麻痹患者应用个体化护理措施的优势。方法：将本院外科ICU 2013年1月-2015年6月收治的急性重症胰腺炎患者并发肠麻痹者98例分为两组，A组为试验组（49例），采用常规护理措施加肠麻痹个体化护理；B组为对照组（49例），采用常规护理措施。观察两组患者的胃肠功能改善情况，评价实施个体化护理措施的优势。结果：试验组治疗有效率为91.8%，优于对照组的44.9%，比较差异有统计学意义（字2=24.35，P=0.000），且试验组患者首次排便时间、住院时间、腹胀痛持续时间及腰围缩小时间均短于对照组，比较差异均有统计学意义（P0.05）。结论：对急性重症胰腺炎合并肠麻痹患者应用个体化护理措施能更有效缓解肠麻痹，促进胃肠功能恢复。 　　【关键词】 急性重症胰腺炎； 肠麻痹； 个体化护理 　　【Abstract】 Objective：To explore the advantages of individualized nursing care on patients with severe acute pancreatitis（SAP） complicated with intestinal paralysis.Method：Ninety-eight patients with SAP complicated with intestinal paralysis of our hospital surgical ICU from January 2013 to June 2015 were divided into two groups，A group as the observation group，and B group as the control group，49 cases in each group.The A group was given individualized nursing care based on the routine nursing while the B group recived only routine nursing.The improvement of gastrointestinal function of all patients was observed.Then the effect of individualized nursing care on patients with SAP complicated with intestinal paralysis was evaluated.Result：The effective rate of A group was 91.8%，better than 44.9% of the B group，the difference was statistic significant（字2=24.35，P=0.000），besides，the first defecation time，hospitalization time，abdominal distension duration time and abdominal circumference recovery time of A group were shorter than B group，and the differences were statistically significant（P0.05）.Conclusion：The implement of individualized nursing care on SAP patients complicated with intestinal paralysis can resultfully alleviate the intestinal paralysis and promote the recovery of gastrointestinal function more effectively. 　　【Key words】 Severe acute pancreatitis； Intestinal paralysis； Individualized nursing care 　　First-author’s address：The First Affiliated Hospital of Chongqing Medical University，Chongqing 400016，China 　　doi：10.3969/j.issn.1674-4985.2016.11.026 　　急性重症胰腺炎并发肠麻痹是胰腺炎常