小儿肠道术后胃肠减压中动态调整胃管深度及摇晃腹部的效果观察  

Curative effect observation on from gastrointestinal decompression of stomach tube depth and shaking abdomen during pediatric postoperative intestinal dynamic adjustment

作　　者：林明珠[1] 温碧霞[1] 陈丽梅[1] 

机构地区：[1]广东省江门市中心医院儿科ICU,529071

出　　处：《齐齐哈尔医学院学报》2015年第10期1516-1517,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨小儿肠道术后早期炎性肠梗阻应用胃肠减压减轻腹部的方法。方法将36例患儿随机分为对照组和观察组,对照组20例和观察组16例,对照组按常规给予持续胃肠减压;观察组予胃肠减压中动态调整胃管深度及摇晃腹部,可引出大量胃液和气体,明显减轻腹胀。比较两组患儿腹胀首次缓解时间和患儿胃肠减压前后腹围差值>5 cm例数。结果观察组患儿腹胀首次缓解时间明显较对照组短,观察组患儿胃肠减压前后腹围差值>5 cm例数较对照组多。差异均有统计学意义(P<0.01)。结论胃肠减压中动态调整胃管深度及摇晃腹部方法提高胃肠减压效果,减轻腹胀,促进小儿术后肠功能恢复,安全有效,值得临床推广应用。Objective To investigate the pediatric intestinal early postoperative inflammatory intestinal obstruction gastrointestinal decompression relieve abdominal approach. Methods 36 cases were randomly divided into control group and observation group,20 in the control group and observation group of 16 cases（ 1）,the control group were given routine continuous gastrointestinal decompression;（ 2） the observation group received gastrointestinal decompression in the dynamic adjustment of gastric tube depth and shaking the abdomen,can develop a lot of gastric fluid and gas,significantly reduce abdominal distension. Two groups were compared before and after the time of first remission in children with abdominal distension and abdominal circumference difference 5cm the number of cases of gastrointestinal decompression. Results The observation group with abdominal distension in first remission time was significantly shorter than the control group,the observation group of children with gastrointestinal decompression after abdominal circumference difference 5cm cases compared with the control group. The differences were statistically significant（ P〈0. 01）. Conclusions The dynamic adjustment of gastric tube depth and shaking method in abdominal gastrointestinal decompression and improve the effect of gastrointestinal decompression,relieve abdominal distention,promote the recovery of postoperative function,safe and effective,worthy of clinical application.

关 键 词：小儿 胃肠减压 早期炎性肠梗阻 

分 类 号：R657.51[医药卫生—外科学]