| 冯向英1 付菊芳2△ 王士祺1 李树钧1 冯全新1.重症急性胰腺炎上腹联合侧腹壁切口术后的综合护理探讨[J].现代生物医学进展英文版,2011,11(7):1349-1351. |
| 重症急性胰腺炎上腹联合侧腹壁切口术后的综合护理探讨 |
| Severe Acute Pancreatitis：Nursing Care Approach after Lateral Incisionplus Laparotomy Necrosis Debridement |
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| DOI： |
| 中文关键词: 重症急性胰腺炎 综合护理 肠瘘 感染 |
| 英文关键词: severe acute pancreatitis comprehensive nursing fistula infection |
| 基金项目: |
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| 中文摘要: |
| 目的：观察上腹联合侧腹壁切口治疗重症急性胰腺炎（severe acute pancreatitis, SAP）术后综合护理的疗效。方法：对我院
2006 年1 月至2010 年6 月在我科接受上腹和侧腹联合切口手术的46 例SAP 患者进行回顾性分析。其中26 例患者接受综合护
理，包括采用造瘘袋辅助护理、使用可调节式伤口保护罩、早期持续冲洗及负压吸引等；20 例患者接受常规护理。比较两种护理策
略对SAP 开放性伤口的预后影响。结果：接受综合护理的患者再次手术率（5/26 vs 10/20，P=0.027），住院周期（26.08±8.48 vs.
31.95±8.82，P=0.03）及护士工作满意度（93.15±4.05 vs. 87.45±5.90，P<0.01）等方面均优于接受常规护理的患者。综合护理组患
者住院期间死亡率（0/26 vs 3/20，P=0.075）及术后肠瘘发生率（1/26 vs 4/20，P=0.08）有降低的趋势。结论：采用综合护理可降低再
次手术率，促进伤口愈合，缩短住院周期，可能降低肠瘘发生率及死亡率，提高护理疗效。 |
| 英文摘要: |
| Objective: To observe the effect of the comprehensive nursing for the patients with a diagnosis of severe acute pancreatitis
receiving upper and flank abdomen incision surgery. Methods: Between January 2006 and June 2010, a total of 46 patients with severe
acute pancreatitis receiving upper and flank abdomen incision surgery were analyzed in the present study. Among them, 26 patients were
administered by using comprehensive nursing strategies, which included auxiliary nursing with the aid of ostomy bags, use of the adjustable
protective cover for thewound, continuouswashing during the early postoperative period and negative pressure suction. Another 20 patients
were administered by using conventional nursing strategies. Results: Compared with those receiving conventional nursing strategies, the
patients receiving comprehensive nursing strategies had a lower rate of re-operation (5/26 versus 10/20, p=0.027) a shorter length of hospital
stay(26.08±8.48 vs. 31.95±8.82，P=0.03) and a high proportion of satisfaction for nursing services (98.5% versus 90%). The incidence
of postoperative fistula (1/26 versus 4/20, p=0.081), in-hospitalization mortality (0/26 versus 3/20, p=0.041) had a tendency of decrease
in patients receiving comprehensive nursing strategies. Conclusions: Comprehensive nursing can reduce the in-hospitalization time
and improve the effect of nursing. In addition, it may also reduce the incidence of postoperative fistula and in-hospital mortality. |
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