Abstract
Severe acute pancreatitis (SAP) is a common acute critical illness in clinical practice, characterized by rapid onset, critical condition, and high mortality, posing a serious threat to patient safety. In recent years, Traditional Chinese Medicine (TCM) nursing techniques have demonstrated unique advantages of simplicity, effectiveness, ease of application, and affordability in the adjunctive treatment of patients with SAP. TCM nursing plays a positive role in alleviating abdominal pain, improving gastrointestinal function, and reducing inflammatory responses and the incidence of complications in patients. It can effectively shorten hospital stays and promote patient recovery. Current studies still have limitations, including relatively small sample sizes, a lack of standardized nursing protocols, and an incomplete efficacy evaluation system. This study systematically reviews the current application status of TCM nursing in patients with SAP, with a focus on the research progress of various TCM nursing interventions, including Chinese herbal enema, auricular acupoint seed embedding, Chinese herbal nasogastric feeding, moxibustion, acupuncture, syndrome differentiation dietary therapy, and emotional nursing. The aim is to provide a reference for the standardized application of TCM nursing in the clinical management of SAP. (重症急性胰腺炎(SAP)是临床常见的危急重症, 具有起病急、病情重、病死率高等特点, 严重威胁患者生命安全。近年来, 中医护理技术以其“简、效、易、廉”的特色, 在SAP患者的辅助治疗中显示出独特优势。中医护理在缓解患者腹痛、改善胃肠功能、降低炎症反应及并发症发生率等方面具有积极作用, 能够有效缩短住院时间、促进患者康复。但当前研究仍存在样本量较小、护理方案缺乏统一标准、疗效评价体系不完善等问题。本研究系统综述了中医护理在SAP患者中的应用现状, 重点阐述了中药灌肠、耳穴埋豆、中药鼻饲、艾灸、针刺、辨证施食及情志护理等中医护理措施的研究进展, 旨在为中医护理在SAP临床中的规范化应用提供参考依据。)