中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
32期
163-164
,共2页
先天性巨结肠%术前准备%肠道灌洗
先天性巨結腸%術前準備%腸道灌洗
선천성거결장%술전준비%장도관세
Congenital megacolon%Preoperative preparation%Intestinal lavage
目的：探讨先天性巨结肠(HD)患儿术前肠道灌洗的方法。方法：2007年3月-2012年3月收治 HD 患儿42例，将其分为A、B两组。A组22例，按改进的方法灌洗；B组20例，应用传统方法灌洗。对比两组患儿平均灌肠时间、灌肠天数、肠道清洁度、术后并发症。结果：A 组灌肠时间短于 B 组(t=10.17，P＜0.0l)、灌肠天数少于 B 组(t=12.41，P＜0.0l)；A 组肠道清洁度优于 B 组(χ2=4.90，P＜0.05)。结论：采用改进后肠道灌洗方法进行 HD 术前准备，具有明显减轻病儿痛苦、降低护理工作量、提高工作效率、降低术后并发症等优点。
目的：探討先天性巨結腸(HD)患兒術前腸道灌洗的方法。方法：2007年3月-2012年3月收治 HD 患兒42例，將其分為A、B兩組。A組22例，按改進的方法灌洗；B組20例，應用傳統方法灌洗。對比兩組患兒平均灌腸時間、灌腸天數、腸道清潔度、術後併髮癥。結果：A 組灌腸時間短于 B 組(t=10.17，P＜0.0l)、灌腸天數少于 B 組(t=12.41，P＜0.0l)；A 組腸道清潔度優于 B 組(χ2=4.90，P＜0.05)。結論：採用改進後腸道灌洗方法進行 HD 術前準備，具有明顯減輕病兒痛苦、降低護理工作量、提高工作效率、降低術後併髮癥等優點。
목적：탐토선천성거결장(HD)환인술전장도관세적방법。방법：2007년3월-2012년3월수치 HD 환인42례，장기분위A、B량조。A조22례，안개진적방법관세；B조20례，응용전통방법관세。대비량조환인평균관장시간、관장천수、장도청길도、술후병발증。결과：A 조관장시간단우 B 조(t=10.17，P＜0.0l)、관장천수소우 B 조(t=12.41，P＜0.0l)；A 조장도청길도우우 B 조(χ2=4.90，P＜0.05)。결론：채용개진후장도관세방법진행 HD 술전준비，구유명현감경병인통고、강저호리공작량、제고공작효솔、강저술후병발증등우점。
Objective:To investigate the method of preoperative bowel lavage in patients with Hirschsprung's disease (HD).Methods:42 children with HD were selected from March 2007 to March 2012.They were divided into the A group and the B group.The A group had 22 cases,and they were lavaged by the improved method;the B group had 20 cases,and we used the traditional method of irrigation.We compared the average time of enema,enema days,intestinal cleanness,postoperative complications of two groups. Results:The enema time of the A group was shorter than that of the B group(t=10.17,P<0.0l),and the enema days was less than the B group(t=12.41,P<0.0l);the intestinal cleanliness of A group was better than that of the B group( χ 2=4.90,P<0.05). Conclusion:The improved intestinal lavage of HD preoperative preparation can significantly reduce the patients pain,reduce the nursing workload,improve work efficiency,and reduce the postoperative complications.
