CAJ | 학술논문

目的探讨先天性巨结肠患儿2种不同灌肠法的效果评价.方法将70例先天性巨结肠患儿随机分为实验组和对照组各35例.对照组采用传统的回流灌肠法进行灌肠;实验组则实施系统的改良回流灌肠方法 (应用负压引流瓶加自制肛管扶托固定,配合护理手法顺着结肠的走向轻柔按摩下腹部,必要时改变体位,进行回肠灌肠).观察2组患儿术前平均灌肠时间、术后住院时间及洁肠的效果.结果实验组患儿术前平均灌肠时间及术后住院时间较对照组明显缩短,洁肠效果明显好于对照组.结论改良回流灌肠法可减少术前灌肠时间及术后住院时间,且洁肠效果好.
목적 탐토선천성거결장환인2충불동관장법적효과평개.방법 장70례선천성거결장환인수궤분위실험조화대조조각35례.대조조채용전통적회류관장법진행관장;실험조칙실시계통적개량회류관장방법 (응용부압인류병가자제항관부탁고정,배합호리수법순착결장적주향경유안마하복부,필요시개변체위,진행회장관장).관찰2조환인술전평균관장시간、술후주원시간급길장적효과.결과 실험조환인술전평균관장시간급술후주원시간교대조조명현축단,길장효과명현호우대조조.결론 개량회류관장법가감소술전관장시간급술후주원시간,차길장효과호.
Objective To explore the effect of two different enema methods in congenital megacolon children. Methods 70 cases of congenital megacolon children were randomly divided into the experimental group and the control group with 35 cases in each group respectively. The control group used traditional reflux-enema; The experimental group was implemented systemic and modified back reflux-enema (negative pressure drainage vessel to reflux-enema plus the padded-fixation of anal canals, cooperated with manual massage of lower abdomen along the direction of colon, if necessary, changed body position). The average enema time, the postoperative hospital stay and the effect of cleaning the intestine in the two groups were observed. Results Compared with the control group, the average preoperative enema time and hospitalization time was significantly shorter, and intestine cleaning effect was better in the experimental group. Conclusions Modified reflux-enema could increase preoperative enema time and postoperative hospitalization time, and had good effect on cleaning intestine.