摘要
目的探讨标准化回流灌肠在新生儿巨结肠中的临床效果与护理措施。方法选择收治的127例先天性巨结肠患儿作为研究对象,按照入院先后顺序分为观察组68例和对照组59例,对照组给予常规回流灌肠和护理,观察组给予标准化回流灌肠和针对性护理,比较两组患儿灌肠并发症发生率、手术肠道准备效果和家属满意度。结果观察组肠道准备优良率为97.06%,高于对照组的86.44%,差异有统计学意义(P<0.05);观察组灌肠时间、住院时间为(13.14±5.32)d、(7.82±3.51)d,均低于对照组,差异有统计学意义(P<0.05);观察组无患儿发生严重出血、穿孔和水中毒等灌肠并发症,患儿家属满意度为95.59%,高于对照组的84.75%,差异差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论先天性巨结肠患儿采用标准化回流灌肠可以提高灌肠效果,减少灌肠并发症的发生,提高灌肠的安全性和灌肠效率,可保证手术的顺利进行。
Objective To investigate the effect of standardization of reflux enema in the neonatal Hirschsprung＇s disease and nursing measures.Methods 127 children with congenital megacolon were considered as study subjects,in accordance with the order of admission were divided into observation group（from January to December,2013,n=68）and control group（from January to December,2012,n=59）.The control group was given conventional reflux enema and nursing.The observation group was given standard reflux enema and targeted care.The complications,operative bowel preparation effect and family satisfaction were compared between the two groups.Results The observation group bowel preparation for the excellent and good rate（97.06%）was higher than that in the control group（86.44%）.The difference was statistically significant（P〈0.05）.The enema time and hospitalization time of observation group were lower than that of the control group.The difference was statistically significant（P〈0.05）.The observation group has no case of severe bleeding,perforation and water intoxication enema complications.The child＇s family satisfaction（95.59%）was higher than that in the control group（84.75%）.The difference was statistically significant difference（P〈0.05）.The incidence of postoperative complications of observation group was lower than that of the control group.The difference was statistically significant（P〈0.05）.Conclusion For children with congenital megacolon,standardization of reflux enema can improve the enema effect,reduce the incidence of postoperative complications,enema of safety and efficiency and ensure the smooth operation.
出处
《西部医学》
2015年第7期1085-1087,共3页
Medical Journal of West China
基金
国家临床重点专科项目资助(国卫办医涵[2013]544)
