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重庆医科大学儿童医院普外科
纸质出版日期:2009,
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[1]王佚,胡丽君,陈秀容,李晓庆,周德凯,金先庆.两种回流灌肠法治疗先天性巨结肠的对比研究[J].重庆医科大学学报,2009,34(10):1437-1440.
WANG Yi, et al. Comparative study on the curative effects of two methods of refluence clysis in children with congenital megacolon disease[J]. Journal of Chongqing Medical University, 2009,34(10):1437-1440.
目的:评价先天性巨结肠(Hirschsprung disease
HD)患儿术前采用全自动灌肠机回流灌肠的安全性、有效性及舒适性
并与传统的回流灌肠法相比较
为该法广泛应用于儿科临床提供理论依据。方法:将56例先天性巨结肠(常见型)患儿随机分为试验组(全自动灌肠机行回流灌肠)和对照组(传统回流灌肠法);检测首末次灌肠后患儿血电解质、血渗透压、体重及血浆蛋白变化
收集灌肠液计数大便菌落
大年龄患儿评价灌肠舒适度
术中评价灌肠效果
统计灌肠时间、术后排便时间、住院天数及并发症发生率。结果:(1)实验组灌肠后
患儿体重及血浆白蛋白显著增加(P<0.05)
灌肠液中大便菌落数显著下降(P<0.05);(2)实验组灌肠前后
患儿血电解质及渗透压无显著改变(P>0.05);(3)两组患儿在术前灌肠时间、术后自主排便时间及术后并发症发生率等方面没有显著差异(P>0.05);但实验组患儿的灌肠舒适度及术中灌肠效果明显提高
住院时间明显缩短(P<0.05)。结论:采用全自动灌肠机行先天性巨结肠术前回流灌肠
不但操作简便
省时省力
而且舒适
安全性高
灌肠效果好
可替代传统回流灌肠法并广泛应用于儿科临床。
Objective: To evaluate the safety
efficacy and degree of comfort of refluence clysis by automatic coloclyster machine in children with congenital megacolon disease
and compare the findings with the traditional clyster.Methods: 56 children with congenital megacolon disease(common type) were divided into experiment group(refluence clysis by automatic coloclyster machine) and control group(traditional refluence clysis)at random.Before and after the last refluence clysis
the electrolytes and osmotic pressure in blood
plasma protein
body weight were detected
and the colony in stool was counted.Moreover
the comfort degree in elder children and effects of refluence clysis were evaluated
and the time of coloclysis and defecation after operation
hospital days and incidence of complications were observed.Results:(1) In experimental group
the weight and plasma-albumin level of children were increased and number of the colony in stool was decreased significantly(P<0.05).(2) In experimental group
the electrolytes and osmotic pressure in blood were stable before and after refluence clysis(P>0.05).(3) There were no significant deviation on the time of coloclysis and defecation after operation and incidence of complications(P>0.05).However
comfort degree and effects of refluence clysis by automatic coloclyster machine were significant improved than those by traditional refluence clysis
and length of hospital stay in experiment group was shortened(P<0.05).Conclusion: Convenience
saving time
high comfort degree
safety and better effects are the significant merits of the refluence clysis by automatic coloclyster machine
which could be used widely in children with congenital megacolon disease.
全自动灌肠机回流灌肠先天性巨结肠
Automatic coloclyster machineRefluence clysisCongenital megacolon
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