摘要
目的总结改良回流灌肠法在先天性巨结肠患儿中应用的效果，克服传统回流灌肠法存在的缺点，提高回流灌肠质量。方法将2001年6月-2006年6月在小儿外科住院的需回流灌肠的先天性巨结肠患儿80例随机分成2组，各40例。观察组（改良组）采用负压引流瓶加肛管扶托固定，配合手法按摩下腹部进行回流灌肠；对照组（传统组）采用注射器进行回流灌肠。比较2组的灌肠时间，灌肠液的出入量、残留液量及2组患儿的灌肠合作程度及肛周皮肤状况。结果2组灌肠时间、灌肠液的入量、出量及残留液量比较差异均有统计学意义（P〈0．01），小儿合作程度及肛周皮肤发红例数比较差异均有统计学意义（P〈0．01）。结论改良回流灌肠方法具有洗肠时间短，灌肠液入、出量平衡，残留液量少，患儿合作率提高，肛周皮肤发红例数减少，提高灌肠质量等优点，值得临床推广应用。
Objective In order to overcome the shortcomings of the traditional therapeutics of reflux-enema, improve the quality of reflux-enema in congenital megacolon of children. Methods 80 children of congenital megacolon who was patients of our hospital from Jun in 2001 to Jun in 2006 were randomly divided into 2 groups, 40 cases respectively. It was adopted that the therapeutics of negative pressure drainage vessel to reflux-enema plus the padded-fixation of anal canals cooperating with manual massage in the group of modified reflux-enema. It was adopted that reflux-enema with injectors in the group of traditional reflux-enema. Results There was significant difference in the time and the quantity of inputs, outputs, relic solution of clysis（P〈0.01 ）,also,there was significant difference in the cooperation degree of children, the number of cases of skin redness（P〈0.01 ）. Conclusion The therapeutics of modified reflux-enema is worthy of clinic application because of its shorter time of reflux-enema, balance of inputs and outputs, less relic solution, higher cooperation degree of children, less cases of skin redness and improving the quality of reflux-enema compared with traditional therapeutics.
关键词
先天性巨结肠
回流灌肠
护理
Congenital Megacolon
Reflux-enema
Nursing
