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1、不同胃管置入長度對急性胰腺炎患者恢復效果的影響觀察［摘要］目的分析不同胃管置入長度對急性胰腺炎患者恢復效果的影響。方法選擇2015年2~10月我院住院部收治的急性胰腺炎患者作為硏究對象，共66例。隨機數(shù)字表法分為對照組、觀察組各33例。兩組患者確診為急性胰腺炎后均實施對癥治療。對照組患者胃腸減壓期間采用常規(guī)方法置入胃管，觀察組患者胃腸減壓期間增加胃管置入長度。比較兩組患者不同胃管置入長度下在液體引出量以及恢復情況方面的差異。結(jié)果觀察組患者平均液體引岀量顯著高于對照組，差異有統(tǒng)計學意義（P<0.05
2、）;觀察組腹部疼痛癥狀緩解時間為（24.5±2.5）hz血清淀粉酶恢復正常時間為（3.2±0.6）d,胃管留:時間為（4.2±(Pv0.05)。0.8）d,住院時間為（6.5±0.6）d,均顯著低于對照組，差異有統(tǒng)計學意義結(jié)論急性胰腺炎患者置入胃管期間適當增加置入長度并配合護理干預(yù)，可有效提高液體引出量，短期內(nèi)緩解腹部疼痛癥狀，促進血清淀粉酶恢復，縮短胃管留置時間以及住院時間,對加速患者康復有積極作用，可供臨床參考并推廣。[關(guān)鍵詞]急性胰腺炎；置入長度;液體引出量；康復[Abstract]Obje
3、ctiveToanalyzetheinfluencesofdifferentstomachtubeindwellinglengthsontherehabilitationeffectsofpatientswithacutepancreatitis.MethodsAtotalof66patientswithacutepancreatitistreatedintheinpatientdepartmentofourhospitalfromFebruarytoOctober2015wereselected
4、asthestudysubjectsanddividedintothecontrolgroupandtheobservationgroupaccordingtotherandomnumbertablemethodzwith33patientsineachgroup.Twopatientsweregivensymptomatictreatmentaftertheywerediagnosedwithacutepancreatitis.Inthecontrolgroupztheconventionalm
5、ethodwasusedtoplacegastrictubeduringthegastrointestinaldecompressionperiodzandintheobservationgroup,thegastrictubeindwellinglengthwasincreasedduringthegastrointestinaldecompressionperiod.Theliquidextractionamountandrehabilitationsituationofthetwogroup
6、sofpatientsunderdifferentgastrictubeindwellinglengthswerecompared.ResultsTheobservationgroupwassignificantlyhigherthanthecontrolgroupintheaverageliquidextractionamount(P<0.05),withstatisticallysignificantdifferenee.Intheobservationgroup,abdominalpainr
7、emissiontimewas(24.5±2.5)hours,serumamylasereturningtonormaltimewas(3.2±0.6)days,gastrictubeindwellingtimewas(4.2±0.8)daysandlengthofhospitalstaywas(6.5±0.6)days,whichwereallsignificantlylowerthanthoseofthecontrolgroup,withstatisticallysignificantdiff
8、erences(P<0.05).ConelusionForpatientswithacutepancreatitis,appropriateincreaseofindwellinglengthduringgastrictubeindwellingperiodcombinedwithnursinginterventioncaneffectivelyimproveliquidextractionamountzrelieveabdominalpainsymptominshortterm,
