摘要
目的探讨重症急性胰腺炎(SAP)患者连续性静脉血液滤过(CVVH)治疗的护理方法及效果。方法对2012年1月至2013年1月收治的20例SAP患者在CVVH治疗的基础上进行积极的护理配合,对比分析护理配合CVVH治疗前、后患者血清生化检测指标、急性生理和慢性健康状况评分(APACHEⅡ)和生命体征的变化等情况。结果 20例患者中痊愈17例,死亡3例,其中放弃治疗而死亡1例,死于胰性脑病1例,死于多器官功能衰竭1例。除3例死亡患者外,17例患者经CVVH治疗与护理后,与治疗前比较,血清生化检测指标显著改善且APACHEⅡ、心率、呼吸、平均动脉压显著降低,差异均有统计学意义(P<0.05)。结论对SAP患者进行积极、有效的护理配合CVVH治疗,有利于增强患者抵抗疾病的信心,有效改善患者临床症状,临床效果显著,值得临床推广应用与进一步研究。
Objective To explore nuring methods and effect of continous veno-venous hemofiltration（CVVH） for patients with severe acute pancreatitis（SAP）. Methods Totally 20 patients with severe acute pancreatitis from January 2010 to January 2013 were received nursing on the basis of CVVH treatment. The serum biochemical indicators ,acute physiology and chronic health evaluationⅡ（APACHEⅡ） and changes in vital signs of the patients before and after nursing with CVVH treatment were compared and analyzed. Results Among 20 patients,17 were full recovered,3 died,1 of which died from abandoning treatment, 1 died of pancreatic encephalopathy and the other 1 died of multiple organ failure. Except the 3 deaths ,compared with pre-treat-ment,the serum biochemical indicators of the residual 17 patients were remarkably improved after CVVH treatment and nursing while the heart rate,breathing,mean arterial pressure were significantly decreased,and the difference was statistically signifi-cant（P〈0.05）. Conclusion Effective nursing on patients with SAP with CVVH treatment is beneficial to enhance their confidence against diseases,effectively improve the clinical symptoms with significant clinical effect,and it is worthy of clinical promotion, application and further research.
出处
《现代医药卫生》
2014年第9期1311-1312,共2页
Journal of Modern Medicine & Health
关键词
胰腺炎
急性坏死性
治疗
危重病
血液滤过
护理研究
Pancreatitis,acute necrotizing/therapy
Critical illness
Hemofiltration
Nursing research
