改良胃肠减压和小量回流灌肠在新生儿小肠闭锁术后的应用效果观察

Application of Improved Gastrointestinal Decompression and Low Pressure Cleaning Enema in Postoperative Nursing of Neonatal Intestinal Atresia

目的探讨新生儿小肠闭锁术后给予改良胃肠减压和小量回流灌肠的效果。方法将35例患儿随机分为对照组和观察组,对照组按常规给予持续胃肠减压及基础护理,观察组在常规护理的基础上将持续胃肠减压改为自然引流和间断回抽胃液的方法,并加用生理盐水小量回流灌肠。记录两组患儿肛门排气腹胀缓解时间和胃黏膜出血情况。结果观察组与对照组相比首次排气时间缩短,胃黏膜出血率低,差异均有统计学意义(P<0.01)。结论自然引流和间断回抽胃液并小量回流灌肠可促进小肠闭锁患儿术后肠功能恢复,减轻腹胀,减少胃黏膜出血,值得临床推广应用。

Objective To explore the effect of improved gastrointestinal decompression and low pressure cleaning enema in postoperative nursing of neonatal intestinal atresia. Methods A total of 35 children were randomly divided into control group and observation group. In control group, traditional continuous gastrointestinal decompression and basic nursing were provided while in observation group, natural drainage and intermittent back extraction of gastric fluid and low pressure cleaning enema were applied in addition to routine nursing. Anal exsufflation and abdominal distension and the nature and colors of the gastric fluid in two groups were recorded. Results There was shorter anal exsufflation time and lower incidence of gastric mucosal hemorrhage in observation group （P〈0.01）. Conclusion Improved nursing in neonatal intestinal atresia can promote early recovery of intestinal function, which is effective for alleviating abdominal distention, and reducing gastric mucosal hemorrhage.