Effect of continuous venous-venous hemofiltration on patients with severe acute pancreatitis and nursing

VernacularTitle:连续静-静脉血液滤过对重症急性胰腺炎患者的疗效分析及护理干预
Author: Zhilan ZHANG ; Jianting XU ; Binglian SU ; Yuexia XIE
Publication Type:Journal Article
Keywords: Severe acute pancreatitis; Continuous venous-venous hemofiltration; Nursing
From: Chinese Journal of Practical Nursing 2011;27(20):24-26
CountryChina
Language:Chinese
Abstract: Objective To observe continuous venous-venous hemofiltration (CVVH) for treatments and cares of severe acute pancreatitis(SAP). Methods From August 2004 to August 2006, 15 cases with SAP were in conventional treatment (the control group), from September 2006 to August 2010, 20 cases with SAP were nursed with CVVH(the observation group). We surveyed patients' vital signs (including body temperature, heart rate, breathing and blood pressure),mental symptoms, abdominal signs and monitored liver and kidney functions. Additionally we executed APACHE Ⅱ scores. We analyzed them retrospectively. Results The afore - mentioned indexes of two groups were significant in statistics, the observation group had lower incidence of MODS、MOF than the control group after 10 days caring. Conclusions The CVVH could correct systemic inflammatory reaction of SAP and prevent complications. Standard technical operation and intensive nursing can ensure smooth process of CVVH and decrease complications caused by CVVH.