CAJ | 학술논문

目的评估先天性巨结肠患儿术后排便功能及生活质量,为探素康复干预措施奠定基础.方法对113例符合要求的先天性巨结肠患儿进行回顾性调查,采用Heikkinen评分标准评价排便功能、小儿肛门直肠术后生活质量评分标准评价生活质量.结果 70.80%(80/113)患儿术后排便功能为优良,24.01%患儿表现不同程度的排便障碍;50例学龄后患儿生活质量评分显示,优者20例占40%,良者23例占46%,差者7例占14%;排便功能与生活质量之间存在显著相关关系.结论先天性巨结肠患儿术后排便功能障碍和并发症对生活质量有显著影响,需要实施康复干预措施促进其生活质量的提高.
목적 평고선천성거결장환인술후배편공능급생활질량,위탐소강복간예조시전정기출.방법 대113례부합요구적선천성거결장환인진행회고성조사,채용Heikkinen평분표준평개배편공능、소인항문직장술후생활질량평분표준평개생활질량.결과 70.80%(80/113)환인술후배편공능위우량,24.01%환인표현불동정도적배편장애;50례학령후환인생활질량평분현시,우자20례점40%,량자23례점46%,차자7례점14%;배편공능여생활질량지간존재현저상관관계.결론 선천성거결장환인술후배편공능장애화병발증대생활질량유현저영향,수요실시강복간예조시촉진기생활질량적제고.
Objective To evaluate postoperative fecal function and quality of life of patients with hirschsprung's disease and to provide objective evidence for improving the quality of life after operations.Methods A follow-up research was made to 113 selected patients who were operated for Hirschsprung's disease. Their records were analyzed retrospectively and the qualities of life of patients were assessed according to the Heikkinen standard quantitative clinical scoring systems. Results 70. 80% of patients (80/113 ) have normal bowel habit after operations and 24.01% of them have abnormal bowel habit in different degree. Among 50 patients after school age, scoring of quality d life is good in 20 patients(40% ), fair in 23(46%) and week in 7( 14% ). A positive correlation was found between fecal function and quality of life. Conclusions The abnormal fecal function and complications after operations influence the quality of life of patients with Hirschsprung's disease to large extent and some positive measures should be taken to improve their quality of life.