吸吮棒棒糖对小儿阑尾切除术后胃肠功能影响的对照研究

Contrastive study on the influence of sucking lollipop on gastrointestinal function in children after appendectomy

目的：探讨早期吸吮棒棒糖对促进小儿阑尾切除术后胃肠功能恢复的效果。方法采用前瞻性随机对照试验设计，将符合病例入选标准的66例阑尾切除术后患儿随机分为试验组和对照组。两组均采用常规治疗方法，对照组术后6 h 麻醉清醒后即开始肢体的被动和主动活动，在病情允许的情况下于术后12 h 开始早期下床活动；试验组除上述处理以外，术后6 h 开始吸吮草莓味棒棒糖，每4 h 吸吮1次，每次20～30 min，直至恢复进食为止。比较两组患儿术后肠鸣音恢复时间及肛门排气、排便时间。采用 SPSS17．0软件进行统计学分析。结果两组均顺利完成了临床观察，试验组患儿术后肠鸣音恢复时间及肛门排气、排便时间短于对照组，差异均有统计学意义（P 值均＜0．01）。结论阑尾切除术后患儿早期吸吮棒棒糖有助于恢复肠蠕动，缓解术后腹胀，促进胃肠功能恢复。

Objetive To explore the effect of sucking lollipop on the recovery of gastrointestinal function in children after appendectomy.Methods A prospective randomized controlled study was made on the 66 ca-ses of children after appendectomy.All these cases were divided into experimental group and control group. Two groups were both treated with conventional therapy.The children in the control group start their passive and active limb exercises 6 hours after the operation （when they become awake from anaesthesia）,and start their out-of-bed activities 12 hours after the operation if the condition allows.The experimental group,besides all the above processing,start to suck lollipop （once every 4 hours,and 20 ~30 minutes each time,till they resume eating）.A comparison and statistical analysis were made on the postoperative recovery time of bowel sound,anal exhaust time and defecating time of children in both groups. Results Both the two groups suc-cessfully completed the clinical observation.Children in the experimental group took shorter time to recover their bowel sound,anal exhaust and defecation,and the differences were statistically significant （P 〈0.01）. Conclusions Sucking lollipop early is helpful in children’s return of peristalsis,relief to postoperative abdomi-nal distension,and recovery of gastrointestinal function.