通过一次性肛管将开塞露深部灌肠在治疗功能性肠梗阻患儿中的临床应用效果  

Clinical application effect of Kaiselu deep enema through disposable anal canal in the treatment of children with functional intestinal obstruction

作　　者：何福玉 谢美燕 钟晓燕 彭小燕 赵爱莲 黄婷 HE Fuyu;XIE Meiyan;ZHONG Xiaoyan;PENG Xiaoyan;ZHAO Ailian;HUANG Ting(Department of Child Gastroenterology,Ganzhou Maternal and Child Health Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市妇幼保健院儿童消化内科,江西赣州341000

出　　处：《中国当代医药》2022年第21期48-51,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2021ZSF299)。

摘　　要：目的探讨通过一次性肛管将开塞露深部灌肠在治疗功能性肠梗阻患儿中的临床应用效果。方法选取2020年9月至2021年8月赣州市妇幼保健院收治的60例功能性肠梗阻患儿作为研究对象,采用住院号的单双次序方法将其分为对照组与观察组,各30例。对照组患儿采用传统方法进行开露塞灌肠,观察组患儿采用一次性肛管将开塞露深部灌肠。比较两组患儿的临床疗效、症状评分、视觉模拟评分法(VAS)、症状改善指标及不良事件发生率。结果观察组患儿的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患儿的症状评分及VAS评分比较,差异无统计学意义(P>0.05);治疗后,两组患儿的症状评分及VAS评分均低于治疗前,且观察组患儿的症状评分及VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患儿的止吐时间、肛门恢复排便排气时间、住院时间均短于对照组,灌肠后大便排出量、肛门收缩次数、排便次数均多于对照组,肠蠕动时间长于对照组,腹围小于对照组,差异有统计学意义(P<0.05)。观察组患儿的不良事件总发生率低于对照组,差异有统计学意义(P<0.05)。结论功能性肠梗阻患儿应用一次性肛管将开塞露深部灌肠,可明显改善患儿胃肠功能,促进其早日康复。Objective To explore the clinical application effect of Kaiselu deep enema through disposable anal canal in the treatment of children with functional intestinal obstruction.Methods A total of 60 children with functional intestinal obstruction treated in Ganzhou Maternal and Child Health Hospital from September 2020 to August 2021 were selected as the research objects,and they were divided into the control group and the observation group by single and double order method of hospitalization number,with 30 cases in each group.The control group was given Kaisai enema with traditional method,and the observation group was given Kaisai enema with disposable anal canal.The clinical efficacy,symptom score,visual analogue scale(VAS),symptom improvement index and incidence of adverse events were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in symptom score and VAS score between the two groups(P>0.05).After treatment,the symptom scores and VAS scores of the two groups were lower than those before treatment,and the symptom scores and VAS score of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The antiemetic time,anal recovery defecation and exhaust time and hospitalization time of the observation group were shorter than those of the control group,the stool output after enema,anal contraction times and defecation times of the observation group were more than those of the control group,the intestinal peristalsis time of the observation group was longer than that of the control group,and the abdominal circumference of the observation group was smaller than that of the control group,the differences were statistically significant(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group,the difference was statistic

关 键 词：功能性肠梗阻 一次性肛管 开塞露 灌肠 不良事件 

分 类 号：R574.2[医药卫生—消化系统]