CAJ | 학술논문

目的：探讨婴幼儿腹部胃肠道术后早期吸吮棒棒糖和安抚奶嘴对胃肠功能恢复的影响。方法采用析因设计，将行胃肠道术后的婴幼儿105例根据随机数字表法分为4组，4组患儿除了常规护理之外，麻醉清醒后给予不同的干预措施，Ⅰ组吸吮棒棒糖，Ⅱ组吸吮安抚奶嘴，2组干预时间均为20~30 min；Ⅲ组先吸吮安抚奶嘴20~30 min后再吸吮棒棒糖20~30 min，3组均为每4小时干预1次，直至患儿进食为止，Ⅳ组不给任何干预措施。比较4组患儿术后肠鸣音恢复时间及术后首次排便时间。采用SPSS 17.0软件进行统计分析。结果共有82例患儿完成了临床观察，Ⅰ组、Ⅱ组、Ⅲ组患儿术后肠鸣音恢复时间分别为（28.54±9.93）、（34.10±9.43）、（28.50±9.52）h，术后首次排便时间分别为（50.02±11.60）、（57.65±15.28）、（49.97±15.46）h，均早于IV组患儿术后肠鸣音恢复时间（39.55±11.22）h和首次排便时间（65.43±14.78）h，且Ⅲ组早于Ⅱ组，差异均有统计学意义，P<0.05，但Ⅰ组、Ⅲ组之间差异无统计学意义，P>0.05。结论婴幼儿胃肠道术后早期吸吮棒棒糖和安抚奶嘴都有助于胃肠功能恢复，但棒棒糖优于安抚奶嘴，棒棒糖和安抚奶嘴之间无交互作用。
목적：탐토영유인복부위장도술후조기흡전봉봉당화안무내취대위장공능회복적영향。방법채용석인설계，장행위장도술후적영유인105례근거수궤수자표법분위4조，4조환인제료상규호리지외，마취청성후급여불동적간예조시，Ⅰ조흡전봉봉당，Ⅱ조흡전안무내취，2조간예시간균위20~30 min；Ⅲ조선흡전안무내취20~30 min후재흡전봉봉당20~30 min，3조균위매4소시간예1차，직지환인진식위지，Ⅳ조불급임하간예조시。비교4조환인술후장명음회복시간급술후수차배편시간。채용SPSS 17.0연건진행통계분석。결과공유82례환인완성료림상관찰，Ⅰ조、Ⅱ조、Ⅲ조환인술후장명음회복시간분별위（28.54±9.93）、（34.10±9.43）、（28.50±9.52）h，술후수차배편시간분별위（50.02±11.60）、（57.65±15.28）、（49.97±15.46）h，균조우IV조환인술후장명음회복시간（39.55±11.22）h화수차배편시간（65.43±14.78）h，차Ⅲ조조우Ⅱ조，차이균유통계학의의，P<0.05，단Ⅰ조、Ⅲ조지간차이무통계학의의，P>0.05。결론영유인위장도술후조기흡전봉봉당화안무내취도유조우위장공능회복，단봉봉당우우안무내취，봉봉당화안무내취지간무교호작용。
Objective To investigate the effects of early sucking a lollipop and pacifier to improve the recovery of gastrointestinal function in infant after gastrointestinal operation. Methods The infants after gastrointestinal operation were divided into four groups according to the random number table method, namely group Ⅰ, Ⅱ, Ⅲ and Ⅳ. Four groups were given different interventions in addition to routine nursing care after anesthesia awake, group Ⅰsucked a lollipop,while groupⅡsucking pacifier. Intervention time of 2 groups were 20-30 minites. GroupⅢsucked the pacifier 20-30 minites first, then sucked a lollipop 20-30 minites. Each group was given one intervention every 4 hours until infant eated. Group Ⅳ was given no interventions. Bowel sounds recovery time, first bowel movement time for the first time were compared. SPSS 17.0 software was used for statistical analysis. Results A total of 82 infants completed the clinical observation. Bowel sounds recovery time of group Ⅰ,Ⅱ,Ⅲ were (28.54±9.93), (34.10±9.43), (28.50±9.52) h, while first bowel movement time were (50.02±11.60), (57.65±15.28), (49.97±15.46) h, which were earlier than group Ⅳ whose bowel sounds recovery time and first bowel movement time were (39.55 ±11.22) h, (65.43 ±14.78) h. The bowel movement time and first bowel movement time of group Ⅲ were earlier than that of groupⅡ (P<0.05), but groupⅠandⅢhad no obvious difference (P>0.05). Conclusions Infants early sucking a lollipop and pacifier after gastrointestinal operation help gastrointestinal function recovery, but the lollipop is superior to the pacifier, lollipops and no interaction between pacifier.