小肠ED导管在小儿术后早期炎性肠梗阻的应用价值  

Clinical value of the CLINY Silicone ED tube with Stylet in the treatment of the early postoperative inflammatory small bowel obstruction in children

作　　者：肖东[1] 李苏伊[1] 刘欣[1] 张翅[1] 曾洪武[1] 

机构地区：[1]深圳市儿童医院外科,深圳518026

出　　处：《山西医科大学学报》2011年第6期504-506,共3页Journal of Shanxi Medical University

基　　金：深圳市科技计划项目(200803067)

摘　　要：目的探讨经鼻型小肠ED导管在腹部术后早期炎性肠梗阻中应用价值。方法回顾研究2007-06～2010-10术后早期炎性肠梗阻采用非手术治疗27例,其中采用小肠ED导管治疗12例做为试验组,同期住院的采用鼻胃管减压治疗的15例做为对照组,将两组置管前5 d减压引流量、排气排便恢复时间、置管天数、腹部X线平片设为观察指标,对两组治疗效果进行对比研究。结果试验组患儿的胃肠减压量明显多于对照组。排气、排便恢复时间在试验组为(4.6±3.2)d,对照组为(7.8±4.3)d,置管天数试验组比对照组明显缩短[(5.81±1.17)d vs(9.43±2.56)d,P<0.01]。结论小肠ED导管能有效施行肠减压,促进肠蠕动恢复,治疗小儿术后早期炎性肠梗阻作用明显。Objective To explore the clinical value of the CLINY Silicone ED Tube with Stylet in treatment of the early postoperative inflammatory small bowel obstruction in children. Methods From June 2007 to October 2010,25 patients with early postoperative inflammatory small bowel obstruction were treated with the CLINY Silicone ED tube with Stylet（experimental group,n=12） and with nasogastric tube（control group,n=15）,respectively.The gastrointestinal decompression amounts in the first five days after intubation,recovery time of exhaust/defecation,days of intubation,abdominal X-ray film were retrospectively analyzed and compared. Results The gastrointestinal decompression amounts in experimental group was significant higher than that in control group.The recovery time of exhaust/defecation in experimental group was shorter than in control group [（4.6±3.2）d vs（7.8±4.3）d,P〈0.01].The days of intubation in experimental group was shorter than in control group [（5.81±1.17）d vs（9.43±2.56）d,P〈0.01]. Conclusion The ED tube can more effectively drain the digestive juice,relieve the intestinal dilatation and promote the intestinal peristalsis,and it is effective for the early postoperative inflammatory small bowel obstruction.

关 键 词：ED导管 肠梗阻 引流量 

分 类 号：R574.2[医药卫生—消化系统]