莫米松乳膏治疗小儿包茎的手法技巧及其护理指导  

Handling technique and nursing guidance for momethasone cream in treating primary phimosis in children

作　　者：陈少娟[1] 陈樱涵 欧阳莉 朱宝益 蒋重和 CHEN Shaojuan;CHEN Yinghan;OUYANG Li;ZHU Baoyi;JIANG Chonghe(Department of Urology,the Sixth Affiliated Hospital of Guangzhou Medical University(Qingyuan People′sHospital),Qingyuan 511518,Guangdong,China)

机构地区：[1]广州医科大学附属第六医院(清远市人民医院)泌尿外科

出　　处：《中国性科学》2020年第1期41-44,共4页Chinese Journal of Human Sexuality

摘　　要：目的探究莫米松乳膏治疗小儿包茎的手法技巧及护理指导对包茎的治疗效果。方法选取2017年1月至2018年12月广州医科大学附属第六医院(清远市人民医院)门诊诊治的1 548例包茎患儿作为研究对象。其中幼龄组(3岁~5岁)610例,学龄组(6岁~10岁)938例,根据Kayaba法将包茎分为I型~IV型,均以莫米松乳膏联合手法技巧进行治疗,并实时随访,总结其治疗手法技巧和护理效果;包皮可轻松完全上翻视为治疗成功。结果幼龄组患儿用药2周的成功率为79.84%,而学龄组患儿在治疗2周后的成功率为80.28%。I型包茎在用药3周的治疗成功率为62.62%,显著低于其他类型(II型,90.11%;III型,91.08%;IV型,99.39%),差异均具有统计学意义(均P<0.05);但在用药5周时治疗成功率与II型、III型差异均无统计学意义(均P>0.05)。结论使用莫米松乳膏联合手法技巧治疗小儿包茎是安全、有效的方法;对于幼龄组以及学龄组患儿均有效,对于各类型的包茎亦均有效,尽管I型包茎的治疗时间较其他类型的包茎时间更长。在药物治疗时注意手法技巧,并通过科学的护理指导让家长掌握,提高其护理能力,有助于包茎的康复,降低包茎对患儿生长和健康的影响,避免了手术导致的痛苦和其家长对麻醉影响的担忧。Objective To explore the therapy effect of handling technique and nursing guidance for momethasone cream in treating primary phimosis in children. Methods From January 2017 to December 2018, 1548 children with primary phimosis were treated in the out-patient department of our hospital, including 610 children of young children group(3-5 years old) and 938 children of school age group(6-10 years old). According to the Kayaba method, the phimosis were divided into four types(Type I-TypeIV), all of which were treated with mometasone cream combined with handling technique, and were followed up in real time. The effect of handling technique and nursing guidance were summarized. The therapy was valued as success when the foreskin could get a full retraction easily. Results After two weeks of treatment, the success rate in the young children group was 79.84%, while the success rate in the school age group was 80.28%. During the first 3 weeks, the success rate of Type I phimosis was significantly lower than that of other types(Type II, 90.11%;Type III, 91.08%;Type IV, 99.39%;P<0.05 for each);but in the fifth week, there was no significant difference between the success rate of Type I and Type II(P>0.05), or between Type I and Type III(P>0.05). Conclusions It is a safe and effective method to treat primary phimosis(Type I-Type IV) with mometasone cream combined with handling technique,no matter for young children group or school age group,despite the treatment time of type I is longer that others types.It is important to the recovery of phimosis to pay attention to the handling techniques during medicine treatment and let the parents master the handling manual techniques through scientific nursing guidance, which can reduce the impact of phimosis on the growth and health of children and avoid the pain and side effects of anesthesia in surgeries.

关 键 词：小儿包茎 莫米松乳膏 手法技巧 护理指导 

分 类 号：R698[医药卫生—泌尿科学]