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目的探讨重症急性胰腺炎中西医联合内镜治疗的护理。方法重症急性胰腺炎患者90例按照随机数字表法分为观察组与对照组各45例,两组患者均采用中西医结合内镜治疗。对照组采用常规干预,观察组采用中西医结合干预。比较两组疗效,发热消失时间、腹痛缓解时间、腹胀缓解时间、住院时间、并发症、血淀粉酶和尿淀粉酶恢复正常时间。结果观察组总有效率高于对照组,有统计学意义(P<0.05);观察组发热消失时间、腹痛缓解时间和腹胀缓解时间明显优于对照组,有统计学意义(P<0.05);观察组住院时间短于对照组,并发症少于对照组,均有统计学意义(P<0.05);观察组血淀粉酶和尿淀粉酶恢复正常时间快于对照组,且有统计学差异(P<0.05)。结论重症急性胰腺炎中西医联合内镜治疗及护理效果明显,值得进一步研究。
Objective To investigate the nursing of combined acute and severe acute pancreatitis with endoscopic treatment. Methods 90 patients with severe acute pancreatitis were divided into observation group and control group according to random number table method, 45 cases each. Both groups were treated with the combination of TCM and Western medicine. Control group using conventional intervention, the observation group using Integrative Medicine intervention. The curative effect, disappearance of fever, remission time of abdominal pain, diarrhea relief time, hospitalization time, complication, blood amylase and urinary amylase recovery time were compared. Results The total effective rate in the observation group was significantly higher than that in the control group (P <0.05). The disappearance of fever, abdominal pain relief time and abdominal distension time in the observation group were significantly better than those in the control group (P <0.05). The length of stay in observation group was shorter than that in control group, and the complication was less than that in control group (P <0.05). The serum amylase and urinary amylase in observation group returned to normal faster than those in control group P <0.05). Conclusion Severe acute pancreatitis with Integrative Medicine endoscopic treatment and nursing effect is obvious, it is worth further study.