CAJ | 학술논문

目的：探讨小儿肠道术后早期炎性肠梗阻应用胃肠减压减轻腹部的方法。方法将36例患儿随机分为对照组和观察组，对照组20例和观察组16例，对照组按常规给予持续胃肠减压；观察组予胃肠减压中动态调整胃管深度及摇晃腹部，可引出大量胃液和气体，明显减轻腹胀。比较两组患儿腹胀首次缓解时间和患儿胃肠减压前后腹围差值＞5 cm例数。结果观察组患儿腹胀首次缓解时间明显较对照组短，观察组患儿胃肠减压前后腹围差值＞5 cm例数较对照组多。差异均有统计学意义（ P＜0．01）。结论胃肠减压中动态调整胃管深度及摇晃腹部方法提高胃肠减压效果，减轻腹胀，促进小儿术后肠功能恢复，安全有效，值得临床推广应用。
목적：탐토소인장도술후조기염성장경조응용위장감압감경복부적방법。방법장36례환인수궤분위대조조화관찰조，대조조20례화관찰조16례，대조조안상규급여지속위장감압；관찰조여위장감압중동태조정위관심도급요황복부，가인출대량위액화기체，명현감경복창。비교량조환인복창수차완해시간화환인위장감압전후복위차치＞5 cm례수。결과관찰조환인복창수차완해시간명현교대조조단，관찰조환인위장감압전후복위차치＞5 cm례수교대조조다。차이균유통계학의의（ P＜0．01）。결론위장감압중동태조정위관심도급요황복부방법제고위장감압효과，감경복창，촉진소인술후장공능회복，안전유효，치득림상추엄응용。
Objective To investigate the pediatric intestinal early postoperative inflammatory intestinal obstruction gastrointestinal decompression relieve abdominal approach. Methods 36 cases were randomly divided into control group and observation group, 20 in the control group and observation group of 16 cases (1), the control group were given routine continuous gastrointestinal decompression; ( 2 ) the observation group received gastrointestinal decompression in the dynamic adjustment of gastric tube depth and shaking the abdomen, can develop a lot of gastric fluid and gas, significantly reduce abdominal distension.Two groups were compared before and after the time of first remission in children with abdominal distension and abdominal circumference difference >5cm the number of cases of gastrointestinal decompression.Results The observation group with abdominal distension in first remission time was significantly shorter than the control group, the observation group of children with gastrointestinal decompression after abdominal circumference difference >5cm cases compared with the control group.The differences were statistically significant ( P <0.01 ) .Conclusions The dynamic adjustment of gastric tube depth and shaking method in abdominal gastrointestinal decompression and improve the effect of gastrointestinal decompression, relieve abdominal distention, promote the recovery of postoperative function, safe and effective, worthy of clinical application.