Application of a bedside ultrasound-guided intestinal cleaning program in patients with severe acute pancreatitis
10.3761/j.issn.0254-1769.2024.13.006
- VernacularTitle:超声引导的肠道清洁在重症急性胰腺炎患者中的应用研究
- Author:
Xiaolei JIN
1
;
Rui HUANG
;
Xueying HUI
;
Xiangyong GUO
;
Yuezhong ZHANG
;
Xiaohong HOU
;
Qingqiang NI
;
Wei FANG
;
Yuping WANG
Author Information
1. 250021 济南市 山东第一医科大学附属省立医院东院重症医学科
- Keywords:
Severe Acute Pancreatitis;
Ultrasound;
Intestinal Cleaning;
Intensive Care Unit;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(13):1575-1580
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application effect of a bedside ultrasound-guided intestinal cleaning program in patients with severe acute pancreatitis.Methods A total of 51 patients with severe acute pancreatitis admitted to the ICU of a tertiary A hospital in Shandong from March to September 2023 were selected by convenience sampling method,and they were divided into an experimental group and a control group according to random number table method.The experimental group was given the bedside ultrasound-guided intestinal cleaning program,and the control group was given the routine intestinal cleaning program.Acute gastrointestinal injury ultrasonography score,the incidence of grade Ⅲ acute gastrointestinal injury and intra-abdominal pressure were compared between the 2 groups before intervention,on the 3rd and 5th day.Results There was an interaction effect between time and group in the comparison of acute gastrointestinal injury ultrasonography scores in the 2 groups(F=7.478,P<0.001);simple effect analysis showed that acute gastrointestinal injury ultrasonography scores in the experimental group were lower than those in control group on the 3rd and 5th day,with statistically significant differences(P<0.05).The incidence of grade Ⅲ acute gastrointestinal injury in the experimental group(23%)was lower than that in the control group(60%),with statistically significant differences(P<0.05).The intra-abdominal pressure had an interaction effect between the 2 groups(F=47.128,P<0.001);simple effect analysis showed that the intra-abdominal pressure in the experimental group was lower than that in the control group on the 3rd and 5th day,with statistically significant differences(P<0.05).Conclusion The bedside ultrasound-guided intestinal cleaning program can improve acute gastrointestinal injury and reduce intra-abdominal hypertension in patients with severe acute pancreatitis.
