先天性肛门闭锁合并直肠阴道舟状窝瘘的护理

Nursing of congenital anal atresia patients complicated with rectovaginal scaphoid fossa fistula

目的探讨先天性肛门闭锁合并直肠阴道舟状窝瘘的护理。方法总结14例先天性肛门闭锁合并直肠阴道道舟状窝瘘围术期护理。护理要点包括:术前心里护理及充分做好肠道准备,术后做好肛周、肛管护理,定期扩肛,观察排便情况,给予健康指导及出院指导。结果患者中2例术后肛门红肿明显伴有糜烂、流脓。经积极治疗和护理,所有患儿均痊愈出院。结论充分的术前准备和细致的术后护理及正确扩肛能避免术后并发症的发生,提高患儿生活质量。

Objective To explore the nursing of congenital anal atresia patients complicated with rectovaginal scaphoid fossa fistula.Methods The perioperative nursing of 14 congenital anal atresia patients complicated with rectovaginal scaphoid fossa fistula was summarized.The nursing included preoperative psychological care and adequate bowel preparation and postoperative nursing（perianal and anal canal nursing,regular anal expansion,defecation,health guidance and discharge guidance）.Results Two patients had anal swelling accompanied by erosion and pus.After active treatment and nursing,all children were cured and discharged.Conclusion Adequate preoperative preparation,careful postoperative nursing,right anal expansion can avoid complications and improve quality of life of those patients.