Predictive care for acute pancreatitis patients undergoing endoscopic retrograde cholangiopancreatography
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摘要:目的 探讨预防性护理在内镜逆行性胰胆管造影术(ERCP)并发急性胰腺炎的应用效果。方法 选取在本院行ERCP术的患者220例，随机分为观察组和对照组各110例，对照组给予常规护理干预，观察组在常规护理基础上实施预防性护理干预。比较2组患者急性胰腺炎发生率、高淀粉酶血症发生率和护理满意度。结果 观察组急性胰腺炎发生率4.5%低于对照组的17.3%(P < 0.05); 观察组高淀粉酶血症发生率8.2%低于对照组的24.5%(P < 0.05); 观察组患者对护理的满意度88.2%高于对照组的70.9%(P < 0.05)。结论 在ERCP术后实施预见性护理，可减少术后急性胰腺炎和高淀粉酶血症的发生，提高患者对护理的满意度。Abstract:Objective To explore the effect of preventive nursing for patients complicated with acute pancreatitis when undergoing endoscopic retrograde cholangiopancreatography(ERCP).Methods A total of 220 patients with ERCP in our hospital were randomly divided into observation group(n=110) and control group(n=110). The control group was given routine nursing intervention, while predictive care was carried out in the observation group based on the control group. The incidence of acute pancreatitis, hyperamylase and nursing satisfaction were compared.Results The incidence of acute pancreatitis in the observation group was obviously lower than the control group(4.5% vs. 17.3%, P < 0.05); the incidence of hyperamylase in the observation group was significantly lower than that in the control group(8.2% vs. 24.5%, P < 0.05). Observation group had significantly higher nursing satisfaction than the control group(88.2% vs. 70.9%, P < 0.05).Conclusion Predictive nursing after ERCP can reduce the incidences of postoperative acute pancreatitis and hyperamylase, and improve patients' nursing satisfaction.
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表 1 2组急性胰腺炎和高淀粉酶血症比较[n(%)]
组别 急性胰腺炎 高淀粉酶血症 对照组(n=110) 19(17.3) 27(24.5) 观察组(n=110) 5(4.5)* 9(8.2)* 与对照组比较, *P < 0.05。 
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表 2 2组患者护理满意度的比较[n(%)]
组别 非常满意 满意 一般 不满意 护理满意度 对照组(n=110) 23 55 25 7 78(70.9) 观察组(n=110) 45 52 11 2 97(88.2)* 与对照组比较, *P < 0.05。
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