摘要
目的探讨小儿长段型先天性巨结肠术前洗肠的护理改进。方法82例长段型巨结肠患儿随机分为对照组和观察组,每组41例。对照组按照标准医学流程进行护理以及手术,观察组应用术前洗肠护理改进方法进行灌肠,按照常规手术流程治疗。评价2组平均灌肠液用量、术中出血量、术后肠蠕动恢复时间以及平均灌肠时间。结果观察组平均灌肠液用量以及平均灌肠时间所需时间优于对照组(P<0.05)。观察组术中出血量及术后肠蠕动恢复时间优于对照组,但差异无统计学意义(P>0.05)。观察组手术时间以及住院时间明显优于对照组(P<0.05)。观察组灌肠效果中评价为优的例数明显多于对照组(P<0.05)。结论小儿长段型先天性巨结肠术前洗肠的护理改进可以提升灌肠效果,缩短灌肠液用量以及灌肠时间所需时间等,值得广泛推广和临床应用。
Objective To investigate the improvement of nursing care for children with long-segment congenital megacolon before operation.Methods A total of 82 children with long-segment megacolon who were admitted and treated in our hospital from March 2015 to June 2018 were randomly divided into control group(n=41) and observation group(n=41).The patients in control group were treated by routine nursing and surgery according to standard medical procedures,however,the patients in observation group were treated by enema with an improved method of preoperative intestinal lavage and were treated according to the conventional surgical procedure.The average enema volume,intraoperative blood loss,postoperative intestinal peristalsis recovery time,and mean enema time were observed and compared between the two groups.Results The average enema volume and average enema time in observation group were superior to those in control group(P<0.05).The intraoperative blood loss and recovery time of postoperative bowel movement in observation group were better than those in control group,but the difference was not significant(P > 0.05).Moreover the operation time and hospitalization time in observation group were significantly better than those in control group(P<0.05),and the cases with good enema effects in observation group were significantly more than those in control group(P<0.05).Conclusion The improvement of nursing care for children with long-segment congenital megacolon can improve the enema effects,shorten the dosage of enema and the time required for enema,therefor,it is worthy of extensive promotion and clinical application.
作者
张丽娟
楚志芬
徐菲
胡毅平
赵春林
卢瑞云
王园园
ZHANG Lijuan;CHU Zhifen;XU Fei(Department of Pediatric Surgery,The First Hospital Affiliated to Hebei North College,Hebei,Zhangjiakou 075000,China)
出处
《河北医药》
CAS
2019年第14期2234-2236,2240,共4页
Hebei Medical Journal
基金
河北省医学科学研究重点课题计划(编号:20180228)
河北省中医药管理局项目(编号:2017179)
河北省科学技术研究与发展指导计划项目(编号:152777177)
关键词
肠蠕动恢复时间
护理改进
术前洗肠
小儿长段型先天性巨结肠
intestinal peristalsis recovery time
nursing improvement
preoperative bowel washing
infantile longsegment congenital megacolon
