Traditional Chinese and Western Medicine Based Nursing for Pregnancy with Acute Pancreatitis_West China Medical Journal

Authors：

 HeShuanghong , HouYajuan , TongXin , TianHui ,  LiGuixiang

Department of Integrated Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LiGuixiang, Email: hxliguixiang@126.com

Keywords：

Pregnancy; Acute pancreatitis; Integrated Chinese and Western medicine; Nursing

DOI：

10.7507/1002-0179.201600148

Video：

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Objective Summary of Integrative traditional Chinese and Western medicine nursing management and their effects for acute pancreatitis in pregnancycare. Method From January, 2010 to July, 2014, 17 patients of acute pancreatitis in pregnancy were retrospectively analyzed. The integrative traditional Chinese and Western medicine nursing management includes general nursing, critical care, Chinese medicine nursing [oral or nasogastric feeding of traditional Chinese medicine (TCM), TCM enema, Liuhedan abdominal external treatment, acupuncture care], puerperium care and discharge guidance. Results All 17 patients using the integrative traditional Chinese and Western medicine nursing management were recovered from the attack of acute pancreatitis. Two out of 17 patients underwent cesarean delivery, 2 with natural birth during the course of acute pancreatitis and the rest 13 patients continued pregnancy. Conclusions The integrative traditional Chinese and Western medicine nursing management have certain advantages for managing acute pancreatitis in pregnancy, together with the maternal line puerperium care and healthy eating guidance can obtain satisfactory curative effects.

Citation： HeShuanghong, HouYajuan, TongXin, TianHui, LiGuixiang. Traditional Chinese and Western Medicine Based Nursing for Pregnancy with Acute Pancreatitis. West China Medical Journal, 2016, 31(3): 560-563. doi: 10.7507/1002-0179.201600148 Copy

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12.	楊梅, 程桂蘭, 黎貴湘, 等. 中西醫結合治療急性胰腺炎液體療法的護理[J]. 四川中醫, 2000, 18(1) :22-23.
13.	黎貴湘, 周倩, 陳本會. 妊娠合并急性胰腺炎的護理[J]. 華西醫學, 2007, 22(2) :391-392.
14.	Gürsoy A, Kulaksizoglu M, Sahin M, et al. Severe hypertrig lyceridemia induced pancreatitis during pregnancy[J]. J Natl Med Assoc, 2006, 98(4) :655-657.
15.	趙昊云, 張秦, 吳元赭. 妊娠合并急性胰腺炎的高危因素及預后評估[J]. 醫學研究生學報, 2015, 28(1) :64-66.
16.	邵利紅, 丁小云. 妊娠合并急性胰腺炎31例臨床分析[J]. 現代實用醫學, 2014, 26(11) :1421-1422.
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1. Pitchumoni CS, Yegneswaran B. Acute pancreatitis in pregnancy[J]. World J Gastroenterol, 2009, 15(45) :5641-5646.
2. 吳在德. 外科學[M]. 5版. 北京:人民軍醫出版社, 2000:184.
3. 羅世香, 羅世成. 72例妊娠晚期并發急性胰腺炎的臨床研究[J]. 中華醫院感染學雜志, 2012, 22(4) :745-747.
4. 熊炬, 張彥, 周容. 62例妊娠合并急性胰腺炎不同時期的臨床特征及結局分析[J]. 實用婦產科雜志, 2009, 25(6) :352-354.
5. 李華萍, 黃亞絹. 妊娠合并急性胰腺炎19例回顧性分析[J]. 中國實用婦科與產科雜志, 2012, 28(2) :131-133.
6. 中華醫學會消化病學分會胰腺疾病學組. 中國急性胰腺炎診治指南(草案)[J]. 現代消化及介入診療, 2005, 24(3) :190-192.
7. 中華醫學會外科學分會胰腺外科學組. 重癥急性胰腺炎診治指南[J]. 中華外科雜志, 2007, 45(11) :727-729.
8. 趙麗萍, 羅濤. 8例圍產期急性重癥胰腺炎患者的術后護理[J]. 中華護理雜志, 2008, 43(2) :142-143.
9. 程小堯, 馬濤. 妊娠晚期合并急性胰腺炎22例臨床分析[J]. 實用婦產科雜志, 2011, 27(4) :303-306.
10. 常實, 曾慶軍, 李勁東, 等. 妊娠合并胰腺炎的臨床診斷與治療[J]. 中國普通外科雜志, 2010, 19(7) :805-808.
11. 孫立群, 李維勤, 耿艷霞, 等. 妊娠末期重癥急性胰腺炎病人血脂代謝的特點和特殊營養支持治療[J]. 腸外與腸內營養, 2011, 18(2) :68-70, 74.
12. 楊梅, 程桂蘭, 黎貴湘, 等. 中西醫結合治療急性胰腺炎液體療法的護理[J]. 四川中醫, 2000, 18(1) :22-23.
13. 黎貴湘, 周倩, 陳本會. 妊娠合并急性胰腺炎的護理[J]. 華西醫學, 2007, 22(2) :391-392.
14. Gürsoy A, Kulaksizoglu M, Sahin M, et al. Severe hypertrig lyceridemia induced pancreatitis during pregnancy[J]. J Natl Med Assoc, 2006, 98(4) :655-657.
15. 趙昊云, 張秦, 吳元赭. 妊娠合并急性胰腺炎的高危因素及預后評估[J]. 醫學研究生學報, 2015, 28(1) :64-66.
16. 邵利紅, 丁小云. 妊娠合并急性胰腺炎31例臨床分析[J]. 現代實用醫學, 2014, 26(11) :1421-1422.
17. 馮淑嫻, 蓋梅香, 劉文珍. 妊娠晚期合并高脂血癥性重癥急性胰腺炎14例臨床分析[J]. 臨床誤診誤治, 2015, 28(2) :10-13.

West China Medical Journal

Traditional Chinese and Western Medicine Based Nursing for Pregnancy with Acute Pancreatitis

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