目的：观察健胃清肠合剂应用改良保留灌肠术与传统保留灌肠术治疗轻症急性胰腺炎（MAP）麻痹性肠梗阻（PI）的临床疗效。方法：将轻症MAP麻痹性肠梗阻患者63例随机分为2组，对照组31例在MAP常规治疗护理的基础上实施传统保留灌肠术，观察组32例在MAP常规治疗护理基础上实施“改良保留灌肠术”，观察灌肠后2组效果。结果：观察组灌肠后PI症状缓解时间、药液保留时间、总灌肠次数、患者舒适度、实验室检查数据（血清肌酸磷酸激酶CK、C-反应蛋白CRP）均优于对照组，差异有统计学意义(P＜005)。结论：“改良保留灌肠术”与传统保留灌肠术比较，“保留灌肠改良术”可延长药液保留时间并保持温度，减少总灌肠次数，缩短MAP性PI症状缓解及CK、CRP恢复时间，提高患者舒适度。%Objective: To observe clinical effects ofJianWeiQingChangmixture in treating mild acute pancre-atitis (MAP) paralytic ileus (PI) through the improved retention enema and traditional retention enema. Methods: Sixty-three MAP patients were randomized into two groups, 31 cases of the control group accepted traditional reten-tion enema on the basis of routine treatment and nursing for MAP, and 32 patients of the observation group im-proved retention enema on the basis of routine care and treatment, the effects of both groups were observed after the enema. Results: The observation group was superior to the control group in PI symptom relieving time, medicinal liquid retention time, total enema times, the comfort degrees of the patients, lab examination data (serum creatine phosphokinase CK, C reactive protein), and the difference had statistical meaning (P<0.05). Conclusion: Improved retention enema could prolong medicinal liquid retention time of MAP, keep the temperature, reduce total enema times, shorten relieving time of PI symptoms, CK and CRP recovery time, and improve the comfort degrees of the patients.
展开▼
