目的 对芒硝外敷袋进行改良设计并探讨其在重症急性胰腺炎患者中的应用效果。方法 制作的改良芒硝热敷袋由皮肤层、芒硝外敷层、防水加热层、固定带组成。便利选取入住于宁夏医科大学总医院肝胆外科诊断为重症急性胰腺炎且需行芒硝外敷治疗的患者为研究对象。将2020年6月—12月使用芒硝外敷袋的30例患者为对照组,2021年1月—6月使用改良芒硝热敷袋的30例患者为试验组,比较两组腹胀持续时间、术后开始经口进食时间、治疗期间下床活动依从性及相关不良事件（腹部皮肤情况、被服及病服污染）的发生情况。结果 两组基本资料具有同质性（P>0.05）;试验组腹胀持续时间为（4.10±0.57） d,对照组为（7.63±1.07） d,差异具有统计学意义（P<0.05）;试验组术后恢复经口进食时间为（2.07±0.19） d,对照组为（3.63±0.47） d,差异具有统计学意义（P<0.05）;试验组在芒硝治疗期间发生被服污染6例（20.0%）,腹部皮肤发红3例（10.0%）;对照组发生被服污染24例（80.0%）,腹部皮肤接触性皮炎7例（23.3%）,差异具有统计学意义（χ2=13.125,P<0.05）。结论 改良后的芒硝热敷袋可明显缩短患者腹胀持续时间,促进肠道功能恢复,治疗舒适度及依存性明显提升。
Objective To modify thenardite hot pack and explore the effect of the application in patients with severe acute pancreatitis. Methods The modified thenardite hot pack was made of skin layer,thenardite outer coating layer,waterproof heating layer and fixing belt. By convenient sampling,the patients who were diagnosed with severe acute pancreatitis and required thenardite external application for treatment were selected in the Department of Hepatobiliary Surgery,General Hospital of Ningxia Medical University. 30 patients who used thenardite external compress bags from June to December 2020 were selected as the control group,and the 30 patients who used the modified thenardite hot pack from January to June 2021 were selected as the experimental group. The duration of abdominal distension and postoperative oral feeding time,compliance of movement and occurrence of related adverse events（abdominal skin condition,bed quilt cover and hospital clothing contamination） during treatment were compared between the two groups. Results The basic data of the two groups were homogeneous（P> 0.05）. The duration of abdominal distension was（4.10± 0.57） d in the experimental group and（7.63± 1.07） d in the control group,and the difference was statistically significant（P< 0.05）. The postoperative time of oral feeding in the experimental group was （2.07± 0.19） d,while that in the control group was （3.63± 0.47） d,and the difference between the two groups was statistically significant（P< 0.05）. 6 cases（20.0%） occurred contamination of clothing and 3 cases（10.0%） had abdo-minal skin redness in experimental group,24 cases（80.0%） occurred hospital clothing contamination and 7 cases （23.3%） had contact dermatitis on abdominal skin in control group,the difference between the two groups was statistically significant（χ2=13.125,P< 0.05）. Conclusion The modified thenardite hot pack can shorten the duration of abdominal distension,promote the recovery of intestinal function,and improve the treatment comfort and compliance.
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