艾灸联合非营养性吸吮及低位灌肠对改善小儿肠造口还纳术后胃肠功能的研究  

Moxibustion Combined with Non-nutritive Sucking and Low Enema in Improving Gastrointestinal Function after Enterostomy Restoration in Children

作　　者：谢舒婷 黄鑫鑫 王瑶[1] 顾祖锐[1] 赵文飘 谢秋云 廖文秀 何秀莉 曾甜[1] XIE Shuting;HUANG Xinxin;WANG Yao;GU Zurui;ZHAO Wenpiao;XIE Qiuyun;LIAO Wenxiu;HE Xiuli;ZENG Tian(Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530012,China;不详)

机构地区：[1]广西壮族自治区妇幼保健院,广西南宁530012

出　　处：《中外医学研究》2024年第10期139-143,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西壮族自治区中医药管理局自筹经费科研课题项目(GXZYA20220214);广西壮族自治区科学技术厅科技计划项目(桂科AD22035121)。

摘　　要：目的:探讨艾灸联合非营养性吸吮及低位灌肠在小儿肠造口还纳术后对胃肠功能的影响。方法:选取2022年7月—2023年6月在广西壮族自治区妇幼保健院新生儿外科住院的140例肠造口还纳术后患儿,按随机数表法将入组患儿分为四组,各35例。对照组给予低位灌肠+非营养性吸吮,干预1组给予艾灸+非营养性吸吮,干预2组给予艾灸+低位灌肠,干预3组给予艾灸+低位灌肠+非营养性吸吮。比较各组术后胃肠功能指标、肠内外营养相关指标、腹围变化及并发症发生率。结果:干预3组胃液颜色转归时间、肠鸣音恢复时间、腹围恢复时间均早于对照组、干预1组、干预2组,首次排便时间早于对照组、干预1组,差异有统计学意义(P<0.05);干预2组胃液颜色转归时间、肠鸣音恢复时间、腹围恢复时间均早于对照组,差异有统计学意义(P<0.05);干预1组肠鸣音恢复时间与腹围恢复时间均早于对照组,差异有统计学意义(P<0.05)。干预3组开奶时间、住院时间均短于对照组、干预1组、干预2组,全口喂养时间、肠外营养时间均短于对照组,差异有统计学意义(P<0.05);干预1组、干预2组住院时间均短于对照组,差异有统计学意义(P<0.05)。术后3 d、5 d,四组腹围比较,差异有统计学意义(P<0.05);四组术后不同时间腹围变化比较,差异有统计学意义(F_(时间)=187.944,P<0.001),四组组间腹围变化比较,差异有统计学意义(F_(组间)=4.175,P=0.007),时间与组间存在交互作用(F_(交互)=10.407,P<0.001)。四组均未出现吻合口瘘,四组呕吐、腹泻、肠梗阻发生率比较,差异无统计学意义(P>0.05)。结论:艾灸联合非营养性吸吮及低位灌肠在小儿肠造口还纳术后可促进胃肠功能恢复,减少早期并发症发生率。Objective:To investigate the effect of moxibustion combined with non-nutritive sucking and low enema on the gastrointestinal function after enterostomy restoration in children.Method:A total of 140 children hospitalized in the Department of Neonatal Surgery in the Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region from July 2022 to June 2023 after enterostomy restoration were selected and divided into four groups according to random number table method,with 35 cases in each group.The control group was given low enema+non-nutritional sucking,intervention group 1 was given moxibustion+non-nutritional sucking,intervention group 2 was given moxibustion+low enema;intervention group 3 was given moxibustion+low enema+non-nutritional sucking.The indexes of gastrointestinal function,parenteral nutrition,abdominal circumference and complication rate were compared among all groups.Result:The gastric juice color recovery time,bowel sound recovery time and abdominal circumference recovery time in intervention group 3 were earlier than control group,intervention group 1 and intervention group 2,and the first defecation time was earlier than control group and intervention group 1,the differences were statistically significant(P<0.05).The gastric juice color recovery time,bowel sound recovery time and abdominal circumference recovery time of intervention group 2 were earlier than those of control group,and the differences were statistically significant(P<0.05).The recovery time of intestinal sound and abdominal circumference in intervention group 1 were earlier than that in control group,and the differences were statistically significant(P<0.05).The milk opening time and hospital stay in intervention group 3 were shorter than those in control group,intervention group 1 and intervention group 2,and the whole mouth feeding time and parenteral nutrition time were shorter than those in control group,the differences were statistically significant(P<0.05).The length of hospitalization in intervention group 1 and in

关 键 词：肠造口 艾灸 非营养性吸吮 低位灌肠 术后 胃肠功能 

分 类 号：R473.72[医药卫生—护理学]