午睡同步时间灌肠镇静提高婴幼儿辅助检查一次性成功率的效果观察  

Effect of enema sedation at the synchronous time of napping on improving the one‑time success rate of auxiliary examinations in infants and young children

作　　者：李承美[1] 刘小芬 李银华[1] 谭心海 颜巧元[2] 张珒珒 LI Chengmei;LIU Xiaofen;LI Yinhua;TAN Xinhai;YAN Qiaoyuan;ZHANG Jinjin(Dept.of Pediatrics,Tianmen First People's Hospital,Tianmen 431700,Hubei,China;Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430023,Hubei,China;School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei,China)

机构地区：[1]天门市第一人民医院儿科,湖北天门431700 [2]华中科技大学同济医学院附属协和医院,湖北武汉430023 [3]华中科技大学同济医学院公共卫生学院,湖北武汉430030

出　　处：《武汉大学学报（医学版）》2024年第8期989-993,共5页Medical Journal of Wuhan University

基　　金：华中科技大学同济医学院附属协和医院科研项目(编号:F016.01003.22003.100)。

摘　　要：目的:探讨午睡同步时间灌肠镇静在婴幼儿辅助检查中的应用效果,以提高婴幼儿疾病诊治的安全性与有效性。方法:选取2023年9月至2024年2月收治的372例灌肠镇静后辅助检查的患儿作为研究对象,将2023年9—11月166例患儿分为对照组,随机时段灌肠镇静;2023年11月至2024年2月收治的206例患儿分为观察组,行午睡同步时间(12:00~14:00)灌肠镇静。结果:观察组一次性辅助检查成功率为93.69%,对照组76.50%,差异有统计学意义(P<0.05);观察组镇静起效时间为(14.3±3.6) min,对照组为(22.6±3.7) min,差异有统计学意义(P<0.05);观察组平均住院时间(7.3±1.7) d,对照组(8.3±0.9) d,差异有统计学意义(P<0.05)。结论:午睡同步时间灌肠镇静能有效提高一次性辅助检查成功率,提高灌肠效果,缩短住院时间,可有效节约医疗资源,提高住院满意度。Objective To explore the application effectiveness of midday enema sedation in assisting examinations for infants and toddlers,and to investigate the improvement of the safety and effectiveness of disease diagnosis and treatment in infants and toddlers.Methods A total of 372 pediatric patients who underwent enema sedation‑assisted examinations from September 2023 to February 2024 were included in the study.Among them,166 patients admitted from September to November 2023 were assigned to the control group and received enema sedation at random periods,while 206 patients admitted from November 2023 to February 2024 were assigned to the observation group and received midday enema sedation during the lunch break from 12:00 to 14:00.Results The one‑time success rate of assisted examinations in the observation group(93.69%)was significantly higher than in the control group(76.50%)(P<0.05).The onset time of sedation was(14.3±3.6)min in the observation group and(22.6±3.7)min in the control group,with a statistically significant difference(P<0.05).The average hospitalization time was(7.3±1.7)d in the observation group and(8.3±0.9)d in the control group,with a statistically significant difference(P<0.05).Conclusion Midday enema sedation can effectively improve the one‑time success rate of assisted examinations,enhance the effect of enema,shorten the hospitalization time,reduce the medical cost,and improve patients'satisfaction.

关 键 词：婴幼儿 灌肠镇静 午睡同步时间 辅助检查 

分 类 号：R720.4[医药卫生—儿科]