结肠灌洗前2 h行保留灌肠对常见型先天性巨结肠患儿应用效果观察  

Application effect of retention enema 2 hours before colonic lavage on children with common Hirschsprung’s disease

作　　者：马文芳 刘婷[1] 杜会蒙 MA Wen-fang;LIU Ting;DU Hui-meng(Department of Neonatal Surgery,Children's Hospital of Zhengzhou University,Henan Children's Hospital,Zhengzhou Children's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院新生儿外科,河南郑州450000

出　　处：《社区医学杂志》2022年第17期984-987,共4页Journal Of Community Medicine

摘　　要：目的探讨结肠灌洗前2 h行保留灌肠对常见型先天性巨结肠(HD)患儿灌肠效果、肠道清洁度、术前发热率及术后住院时间的影响。方法选取2018-02-17-2020-09-17郑州儿童医院收治的113例常见型HD患儿为研究对象,按照计算机分组法将其分为对照组(n=56)和观察组(n=57)。对照组予以结肠灌洗后行保留灌肠,观察组予以结肠灌洗前2 h行保留灌肠。观察2组灌肠效果、肠道清洁度、术前发热率及术后住院时间。结果观察组日灌入量为(1104.33±70.12)mL,低于对照组的(1354.74±92.06)mL,t=16.245,P<0.001;日排出量为(1337.51±43.76)mL,低于对照组的(1512.23±57.51)mL,t=18.151,P<0.001;术前灌肠时间为(17.03±4.81)min,短于对照组的(19.89±5.04)min,t=3.085,P=0.003;灌肠效率为(20.15±2.63)%,高于对照组的(10.53±1.45)%,t=24.134,P<0.001。观察组肠道清洁优良率为98.25%,高于对照组的85.71%,χ^(2)=4.463,P=0.035;术前发热率为1.75%,低于对照组的14.29%,χ^(2)=4.463,P=0.035;术后住院时间为(5.21±0.56)d,短于对照组的(7.04±1.31)d,t=9.625,P<0.001。结论相较于结肠灌洗后行保留灌肠应用于常见型HD患儿术前肠道准备,结肠灌洗前2 h行保留灌肠在提高肠道清洁度、降低术前发热率、缩短住院时间方面优势更明显,具有良好的灌肠效果。Objective To study the effect of retention enema 2 hours before colonic lavage on enema effect,bowel cleanliness,preoperative fever rate and postoperative hospital stay in children with common Hirschsprung’s disease(HD).Methods A total of 113 children with common HD who were admitted to Children’s Hospital of Zhengzhou University from February 17,2018 to September 17,2020 were selected and divided into two groups according to the computer grouping method.The control group was 56 cases,who underwent colonic lavage followed by retention enema,and the observation group was 57 cases where a retention enema was performed 2 hours before colonic lavage.The enema effect,bowel cleanliness,preoperative fever rate and postoperative hospital stay were observed in the two groups.Results The daily infusion volume of the observation group was(1104.33±70.12)ml,which was lower than that of the control group(1354.74±92.06)ml,t=16.245,P<0.001.Daily discharge the volume was(1337.51±43.76)ml,which was lower than(1512.23±57.51)ml in the control group,t=18.151,P<0.001;the preoperative enema time was(17.03±4.81)minutes,which was shorter than(19.89±5.04)miniutes in the control group,t=3.085,P=0.003;the enema efficiency was(20.15±2.63)%,higher than that of the control group(10.53±1.45)%,t=24.134,P<0.001.The excellent and good rate of intestinal cleansing in the observation group was 98.25%,which was higher than that in the control group,85.71%,χ^(2)=4.463,P=0.035.The preoperative fever rate in the observation group was 1.75%,which was lower than 14.29%in the control group,χ^(2)=4.463,P=0.035;the postoperative hospital stay was(5.21±0.56)days,which was shorter than(7.04±1.31)days in the control group,t=9.625,P<0.001.Conclusion Compared with the application of retention enema after colonic lavage to preoperative bowel preparation in children with common type HD,retention enema performed 2 hours before colonic lavage has advantages in improving bowel cleanliness,reducing preoperative fever rate,and shortening hospital stay an

关 键 词：常见型先天性巨结肠 结肠灌洗 保留灌肠 液状石蜡 肠道清洁度 

分 类 号：R473.72[医药卫生—护理学]