摘要
目的 探讨超声辅助在小儿先天性巨结肠术前清洁回流灌肠护理中的应用及效果。方法 选取2021年12月-2023年12月在安徽省儿童医院普外科进行手术治疗的60例先天性巨结肠患儿作为研究对象,使用简单随机化抽样分组分为观察组(30例)和对照组(30例)。对照组患儿术前给予传统常规清洁回流灌肠;观察组患儿于灌肠第1日、第3日及术前1 d,在清洁回流灌肠前,先使用超声影像评估患儿肠道内大便的情况,再根据超声影像结果进行有针对性的灌肠。比较2组患儿术前灌肠出入量差、灌肠时间的差别;使用Bristol粪便性状评估表(BSFS)比较2组患儿术中肠道清洁度的差别;比较2组患儿术后并发症发生率的差别。结果 观察组术前单次灌肠时间少于对照组;观察组总灌肠天数少于对照组;观察组术前灌肠出入量差多于对照组,差异均有统计学意义(P<0.05);观察组术中BSFS评分高于对照组,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 将超声辅助用于判断小儿先天性巨结肠术前肠道准备清洁度的评估中,缩短了患儿术前肠道准备的时间,提高了灌肠的效率,改善了肠道准备清洁度,降低了术后并发症发生率。
Objective To investigate the application and effect of ultrasound in the intestinal preparation in pediatric Hirschsprung disease.Methods A total of 60 children with Hirschsprung disease who underwent surgery in the department of general surgery of Anhui Provincial Children's Hospital from December 2021 to December 2023 were selected as the study subjects,and were divided into the observation group(30 cases)and the control group(30 cases)using simple random sampling method.The children in the control group was given regular cleaning reflux enema before operation;On the 1 st day,the 3 rd day,and the day before operation,the children in the observation group were used ultrasound imaging to evaluate the stool in the intestine before cleaning the reflux enema,and then performed a targeted enema according to the ultrasound image results.The differences in preoperative enema intake and enema time between 2 groups were compared;The Bristol Fecal Trait Assessment Form(BSFS)was used to compare the difference in intraoperative intestinal cleanliness between 2 groups;The differences in postoperative complication rates between 2 groups were compared.Results The observation group had less time for preoperative single enema than the control group;The total number of enema days in the observation group was lower than that in the control group;The preoperative enema intake and exit in the observation group was significantly higher than that in the control group(P<0.05);The intraoperative BSFS score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);The postoperative complication rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of ultrasound assistance to judge the cleanliness of preoperative intestinal preparation in children with pediatric Hirschsprung disease can shorten the time of preoperative intestinal preparation,increase the efficiency of enema,improve the cleanliness of intestinal preparation,and reduce the incidence of postoperative complications.
作者
吴天航
张振强
胡一新
唐然
周婷婷
张云霞
WU Tianhang;ZHANG Zhenqiang;HU Yixin;TANG Ran;ZHOU Tingting;ZHANG Yunxia(Department of General Surgery,Anhui Provincal Childen's Hospital,Hefei 230051,Anhui,China)
出处
《护士进修杂志》
2024年第7期758-761,共4页
Journal of Nurses Training
基金
安徽省儿童医院院级课题(编号:20etyy003)。
关键词
超声影像
先天性巨结肠
回流灌肠
小儿
护理
ultrasonic imaging
hirschsprung disease
reflux enema
childen
nursing
