新生儿肠旋转术后营养支持的护理意义研究

Study on nursing significance of nutritional support after neonatal intestinal rotation

目的探讨新生儿肠旋转术后营养支持的护理意义。方法 80例新生儿肠旋转术后患儿,随机分为试验组和对照组,每组40例。两组患儿术后采取营养支持,对照组患儿采取普通护理,试验组在对照组基础上采取积极的营养支持护理措施。比较两组患儿护理后早期并发症情况。结果试验组患儿中发生呼吸道感染0例,切口裂开1例,切口感染0例,肠瘘1例,近期粘连性肠梗阻1例,早期并发症发生率为7.5%;对照组患儿中发生呼吸道感染2例,切口裂开3例,切口感染0例,肠瘘2例,近期粘连性肠梗阻3例,早期并发症发生率为25.0%。试验组早期并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论对新生儿肠旋转术后患儿采取积极的营养支持护理措施,可以明显降低患儿术后早期并发症发生率,值得在临床推广。

Objective To investigate the nursing significance of nutritional support after neonatal intestinal rotation. Methods A total of 80 children with neonatal intestinal rotation were randomly divided into experimental group and control group, with 40 cases in each group. Both groups received nutritional support, and the control group received general nursing, while the experimental group received active nutritional support measures on the basis of the control group. The early complications after nursing were compared between the two groups. Results The experimental group had 0 case of respiratory tract infection, 1 case of incision dehiscence, 0 case of incision infection, 1 case of intestinal fistula, 1 case of recent adhesive intestinal obstruction, with the incidence of early complications as 7.5%, while the control group had 2 cases of respiratory tract infection, 3 cases of incision dehiscence, 0 case of incision infection, 2 cases of intestinal fistula, 3 cases of recent adhesive intestinal obstruction, with the incidence of early complications as 25.0%. The experimental group had lower incidence of early complications than the control group, and the difference was statistically significant（P〈0.05）. Conclusion Active nutrition support measures for children with neonatal intestinal rotation can significantly reduce the incidence of early postoperative complications in children, so it is worthy of clinical promotion.