Tang JH, Jiang R. Nursing care of elderly patients with drug-induced severe pancreatitis by continuous closed high flow peritoneal lavage combined with continuous blood purification.
Shijie Huaren Xiaohua Zazhi 2018;
26:849-855. [DOI:
10.11569/wcjd.v26.i14.849]
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Abstract
AIM
To explore the nursing effect of closed high-flow peritoneal lavage combined with continuous blood purification in elderly patients with drug-induced severe pancreatitis.
METHODS
A total of 50 elderly patients with drug-induced severe acute pancreatitis who received continuous closed high flow peritoneal lavage combined with blood purification between January 2017 and January 2018 at our emergency internal medicine department were enrolled as an experimental group. Fifty elderly patients with drug-induced severe pancreatitis who received basic nursing measures only were included as a control group. The average frequency of complications, number of treatment cycles, number of cycles required for serum amylase recovery, and duration of abdominal pain in the two groups were statistically analyzed. The changes of liver and kidney function, APACHE Ⅱ, and CTSI score were also recorded and compared.
RESULTS
The average frequency of complications, number of treatment cycles, number of cycles required for serum amylase recovery, and duration of abdominal pain were significantly lower in the experimental group than in the control group (P < 0.05). The liver and kidney function of the patients in the experimental group were obviously superior to those before treatment (P < 0.05), while the difference in the control group did not reach statistical significance. The APACHE Ⅱ and CTSI scores in the experimental group were significantly lower than those in the control group (P < 0.05).
CONCLUSION
Continuous closed high-flow peritoneal lavage combined with blood purification can effectively reduce symptoms, shorten the treatment cycle, and improve prognosis in elderly patients with drug-induced severe acute pancreatitis.
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