摘要
重症急性胰腺炎（SAP）是临床常见的危重急腹症，胃肠功能障碍是其核心并发症之一，直接影响患者预后。集束化护理作为基于循证医学证据的整合性干预模式，在改善SAP患者胃肠功能、降低并发症发生率方面展现出显著优势。本文通过检索近年国内外相关文献，从集束化护理的概念内涵、SAP患者胃肠功能障碍的病理生理机制、集束化护理在SAP胃肠功能恢复中的具体应用措施、临床效果评价及现存问题与展望等方面进行系统综述，旨在为临床护理实践提供参考依据，进一步优化SAP患者的护理策略，促进患者胃肠功能早期恢复。
关键词： 集束化护理；重症急性胰腺炎；胃肠功能恢复；护理干预
Abstract
Severe acute pancreatitis (SAP) is a common critical acute abdomen in clinical practice. Gastrointestinal dysfunction is one of its core complications, which directly affects the prognosis of patients. Cluster nursing, as an integrated intervention model based on evidence-based medical evidence, has shown significant advantages in improving gastrointestinal function and reducing the incidence of complications in patients with SAP. This article conducts a systematic review by retrieving relevant domestic and foreign literatures in recent years, covering aspects such as the conceptual connotation of cluster nursing, the pathophysiological mechanism of gastrointestinal dysfunction in SAP patients, specific application measures of cluster nursing in the recovery of gastrointestinal function in SAP, clinical effect evaluation, existing problems and prospects, aiming to provide a reference basis for clinical nursing practice. Further optimize the nursing strategies for SAP patients to promote the early recovery of their gastrointestinal function.
Key words： Cluster nursing; Severe acute pancreatitis; Recovery of gastrointestinal function; Nursing intervention
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