新生儿先天性巨结肠术前甲硝唑回流灌肠的技术改进

目的探讨新生儿先天性巨结肠患儿灌肠的方法。方法将80新生儿先天性巨结肠手术例分为对照组40例按传统方法灌洗;实验组40例,应用改进的方法灌洗。对比两组患儿临床症状改善、平均灌肠时间、灌肠天数、肠道清洁度。结果实验组的临床症状改善优于对照组,经x2检验,P<0.01,灌肠时间短于对照组,经t检验,P<0.01,灌肠天数少于对照组,经t检验,P<0.01;肠道清洁度优于对照组经x2检验,P<0.05。结论改进灌肠法能改善患儿临床症状、降低术后肠炎发生率,省时省力、提高护理工作效率、缩短住院日、减轻经济费用。

Objective To investigate method of children with congenital megacolon enema.Methods 80 cases of congenital megacolon surgery were divided into control group of 40 patients in the traditional method of irrigation and experimental group of 40 patients,application of improved methods of irrigation.Clinical improvement,the average time enema,enema days,intestinal cleanliness of two groups were compared.Results The clinical symptoms in experimental group than the control group,by x 2 test,P〈 0.01,enema of time was shorter than the control group by t test,P 〈0.01,enema number of days was shorter than the control group by t test,P〈0.0l;intestinal cleanliness than the control group by x 2 test,P0.05.Conclusion Improved enema can improve clinical symptoms and reduce the incidence of postoperative enteritis,save time and effort,improve care efficiency,shorten hospital stay and reduce the economic costs.