小儿继发性肠狭窄及闭锁伤口造瘘口护理方法分析  

Analysis of Pediatric Secondary Intestinal Stenosis and Atresia Wound Fistulas Nursing Methods

作　　者：杜伟[1] 王涛涛 Du Wei;Wang Taotao(General Hospital of Ningxia Medical University,Yinchuan 750001,Ningxia Hui Autonomous Region,China)

机构地区：[1]宁夏医科大学总医院,宁夏回族自治区银川750001

出　　处：《中外医药研究》2024年第29期108-110,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨小儿继发性肠狭窄及闭锁伤口造瘘口的有效护理方法,为临床治疗提供依据。方法:选取宁夏医科大学总医院2022年1月—2023年12月收治的继发性肠狭窄及闭锁患儿70例作为研究对象,随机分为观察组和对照组,各35例。观察组采用新型护理方案,对照组采用传统护理方案。比较两组患儿瘘口情况、排泄及感染情况及并发症发生率。结果:观察组瘘口愈合时间短于对照组,观察组护理后视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.001);观察组排泄不佳率、感染率均低于对照组,差异均有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P=0.040)。结论:相较于传统护理方法,新型护理方案在小儿继发性肠狭窄及闭锁伤口造瘘口护理中的优势显著,能够有效缩短瘘口愈合时间,降低感染率及并发症发生率,改善排泄情况,减轻患儿瘘口疼痛程度。Objective:To explore the effective nursing methods of pediatric secondary intestinal stenosis and atresia wound fistula to provide the basis for clinical treatment.Methods:Seventy cases of children with secondary intestinal stenosis and atresia admitted to the General Hospital of Ningxia Medical University from January 2022 to December 2023 were selected as the study subjects,and were randomly divided into the observation group and the control group,each with thirty-five cases.The observation group adopted a new type of nursing program,and the control group adopted a traditional nursing program.The fistula condition,excretion and infection and complication rate were compared between the two groups.Results:The healing time of fistula in the observation group was shorter than that of the control group,and the score of visual analog scoring method after care in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.001);the poor excretion rate and infection rate of the observation group were lower than that of the control group,and the differences were statistically significant(P<0.05);and the total incidence rate of complications in the observation group was lower than that of the control group,and the difference was statistically significant(P=0.040).Conclusion:Compared with traditional nursing methods,the advantages of the new nursing program in pediatric secondary intestinal stenosis and atresia wound fistula care are significant,which can effectively shorten the healing time of the fistula,reduce the rate of infection and the incidence of complications,improve excretion,and reduce the degree of pain of the fistula in children.

关 键 词：小儿 继发性肠狭窄 闭锁 造瘘口 护理 感染 

分 类 号：R473.72[医药卫生—护理学]