CAJ | 학술논문

目的：探讨早期吸吮棒棒糖对促进小儿阑尾切除术后胃肠功能恢复的效果。方法采用前瞻性随机对照试验设计，将符合病例入选标准的66例阑尾切除术后患儿随机分为试验组和对照组。两组均采用常规治疗方法，对照组术后6 h 麻醉清醒后即开始肢体的被动和主动活动，在病情允许的情况下于术后12 h 开始早期下床活动；试验组除上述处理以外，术后6 h 开始吸吮草莓味棒棒糖，每4 h 吸吮1次，每次20～30 min，直至恢复进食为止。比较两组患儿术后肠鸣音恢复时间及肛门排气、排便时间。采用 SPSS17．0软件进行统计学分析。结果两组均顺利完成了临床观察，试验组患儿术后肠鸣音恢复时间及肛门排气、排便时间短于对照组，差异均有统计学意义（P 值均＜0．01）。结论阑尾切除术后患儿早期吸吮棒棒糖有助于恢复肠蠕动，缓解术后腹胀，促进胃肠功能恢复。
목적：탐토조기흡전봉봉당대촉진소인란미절제술후위장공능회복적효과。방법채용전첨성수궤대조시험설계，장부합병례입선표준적66례란미절제술후환인수궤분위시험조화대조조。량조균채용상규치료방법，대조조술후6 h 마취청성후즉개시지체적피동화주동활동，재병정윤허적정황하우술후12 h 개시조기하상활동；시험조제상술처리이외，술후6 h 개시흡전초매미봉봉당，매4 h 흡전1차，매차20～30 min，직지회복진식위지。비교량조환인술후장명음회복시간급항문배기、배편시간。채용 SPSS17．0연건진행통계학분석。결과량조균순리완성료림상관찰，시험조환인술후장명음회복시간급항문배기、배편시간단우대조조，차이균유통계학의의（P 치균＜0．01）。결론란미절제술후환인조기흡전봉봉당유조우회복장연동，완해술후복창，촉진위장공능회복。
Objetive To explore the effect of sucking lollipop on the recovery of gastrointestinal function in children after appendectomy.Methods A prospective randomized controlled study was made on the 66 ca-ses of children after appendectomy.All these cases were divided into experimental group and control group. Two groups were both treated with conventional therapy.The children in the control group start their passive and active limb exercises 6 hours after the operation (when they become awake from anaesthesia),and start their out-of-bed activities 12 hours after the operation if the condition allows.The experimental group,besides all the above processing,start to suck lollipop (once every 4 hours,and 20 ~30 minutes each time,till they resume eating).A comparison and statistical analysis were made on the postoperative recovery time of bowel sound,anal exhaust time and defecating time of children in both groups. Results Both the two groups suc-cessfully completed the clinical observation.Children in the experimental group took shorter time to recover their bowel sound,anal exhaust and defecation,and the differences were statistically significant (P <0.01). Conclusions Sucking lollipop early is helpful in children’s return of peristalsis,relief to postoperative abdomi-nal distension,and recovery of gastrointestinal function.