摘要
目的探讨中西医结合护理对腹腔镜治疗胆源性急性胰腺炎患者术后的影响。方法选取2017年3月—2019年3月于我院接受腹腔镜手术治疗的胆源性急性胰腺炎患者86例为研究对象,按患者接受手术的时间顺序分为对照组(n=43)和观察组(n=43)。对照组予以常规术后护理模式,观察组在对照组基础上加予中西医结合护理模式,观察比较两组患者术后肠鸣音恢复时间、肛门排气时间、排便时间,术前、术后1、2、7 d的胃泌素(MTL)、胃动素(GAS)水平以及胃肠移行性复合波(MMC)6 h阳性率。结果观察组在肠鸣音、肛门排气以及排便三方面的时间较对照组均有所缩短(P<0.05);较术前比较,两组患者术后1、2、7 d的MTL水平明显下降、GAS水平水平显著上升(P<0.05),1 d时MTL和GAS水平变化幅度最大,2 d和7 d时MTL和GAS水平变化逐渐趋近于术前,但仍无法回到术前水平(P<0.05);较对照组比较,观察组MTL和GAS水平在术前差异无统计学意义(P>0.05),而术后不同时间段观察组的MTL水平均高于对照组,GAS水平均低于对照组,具有统计学意义(P<0.05);对照组与观察组的MMC 6 h阳性率分别为67.44%和86.05%(P<0.05)。结论中西医结合护理干预对改善术后患者胃肠道功能紊乱具有重要作用,可更好的促进胆源性急性胰腺炎患者术后恢复情况,值得临床推广应用。
Objective To investigate the effect of integrated traditional Chinese and Western medicine nursing on postoperative laparoscopic treatment of patients with biliary acute pancreatitis.Methods Eighty-six patients with biliary acute pancreatitis who underwent laparoscopic surgery in our hospital from March 2017—March 2019 were enrolled in the study.They were divided into control group(n=43)and observation group according to the time sequence of patients undergoing surgery(n=43).The control group received the routine postoperative care mode.The observation group was given the integrated Chinese and Western medicine nursing model on the basis of the control group.The postoperative bowel sound recovery time,anal exhaust time,defecation time,preoperative and postoperative,gastrin(MTL)and motilin(GAS)levels at 1 d,2 d,and 7 d,and gastrointestinal transitional complex(MMC)6-hour positive rates were compared between the two groups.Results The time of the bowel sounds,anal exhaust and anal defecation in the observation group was shorter than that in the control group(P<0.05).Compared with the preoperative,the MTL levels at 1 d,2 d and 7 d after operation decreased significantly,GAS levele increased significantly(P<0.05),MTL and GAS levels changed the most at 1 d,MTL and GAS levels gradually approached preoperative at 2 d and 7 d,but still can not return to preoperative level(P<0.05);Compared with the control group,the MTL and GAS levels in the observation group were not significantly different before operation(P>0.05),but the MTL levels in the observation group were higher than the control group at different time points after operation,and the GAS level was lower than that of the control group(P<0.05);The positive rate of MMC 6 hours in the control group and the observation group were 67.44%and 86.05%,respectively(P<0.05).Conclusion Integrated Chinese and Western medicine nursing intervention plays an important role in improving gastrointestinal dysfunction in postoperative patients,and can better promote postoperative recovery of patients with biliary acute pancreatitis,it is worthy of clinical application.
作者
谷艳芹
GU Yanqin(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning China)
出处
《辽宁中医药大学学报》
CAS
2020年第2期214-217,共4页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
胆源性急性胰腺炎
中西医结合护理
胃肠功能
biliary acute pancreatitis
integrated Chinese and Western medicine nursing
gastrointestinal function
作者简介
谷艳芹(1981-),女,辽宁锦州人,主管护师,学士,研究方向:中西医结合外科护理。
