深部灌肠联合腹部按摩在治疗功能性肠梗阻患儿中的临床应用效果  

Clinical application effect of deep enema combined with abdominal massage in the treatment of children with functional intestinal obstruction

作　　者：何福玉 HE Fuyu(Department of Gastroenterology for Children,Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou 341000,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》2023年第22期96-99,共4页China Modern Medicine

基　　金：江西省赣州市科技计划项目(GZ2021ZSF299)。

摘　　要：目的研究深部灌肠联合腹部按摩在临床上治疗功能性肠梗阻患儿的效果以及应用价值。方法选取2022年1月至12月赣州市妇幼保健院收治的80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试验组,每组40例。对照组采取常规治疗,试验组在此基础上采取深部灌肠联合腹部按摩进行治疗,比较两组患儿干预后的生活质量、临床指标、胃肠功能恢复时间、胃泌素(Gas)与胃动素(MTL)以及不良反应发生率。结果治疗前,两组患儿的MTL与Gas比较,差异无统计学意义(P>0.05);治疗后,两组患儿的Gas低于本组治疗前,MTL高于本组治疗前,且试验组的MTL与Gas高于对照组,差异有统计学意义(P<0.05);试验组患儿的住院时间短于对照组,住院费用少于对照组,差异有统计学意义(P<0.05);试验组患儿的不良反应总发生率低于对照组,差异有统计学意义(P<0.05);试验组患儿胃肠功能恢复时间短于对照组,差异有统计学意义(P<0.05);治疗后试验组患儿的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论对于功能性肠梗阻患儿在常规治疗基础上采取深部灌肠联合腹部按摩可以改善临床指标,提升生活质量,改善MTL与Gas水平,为患儿的后续生活提供有效的保障。Objective To study the clinical effect and application value of deep enema combined with abdominal massage in the treatment of children with functional intestinal obstruction.Methods Eighty children with functional intestinal obstruction admitted to Ganzhou Women and Children's Health Care Hospital from January to December 2022 were selected as the research objects.They were divided into control group and experimental group according to the method of single and even hospitalization number,with 40 cases in each group.The control group received conventional treatment,and the experimental group received deep enema combined with abdominal massage on this basis.Quality of life,clinical indicators,recovery time of gastrointestinal function,gastrin(Gas)and motilin(MTL),and incidence of adverse reactions of two groups were compared after intervention.Results The Gas in the two groups after treatment was lower than that before treatment,and the difference was statistically significant(P<0.05).The MTL in the two groups after treatment was higher than that before treatment,and the difference was statistically significant(P<0.05).After treatment,MTL and Gas in experimental group were higher than those in control group,and the differences were statistically significant(P<0.05).The hospitalization time of experimental group was shorter than that of control group,and hospitalization cost of experimental group was less than that of control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).The recovery time of gastrointestinal function in experimental group was shorter than that in control group,and the difference was statistically significant(P<0.05).After treatment,the quality of life score of experimental group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion For children with functional intestinal obs

关 键 词：深部灌肠 腹部按摩 功能性肠梗阻 胃动素 胃泌素 

分 类 号：R725.7[医药卫生—儿科]