早期干预对小儿先天性胆总管囊肿切除术后胃肠功能的影响Effect of early intervention on gastrointestinal function in children with congenital choledochal cyst after resection
李蒙娜;孟晓婉;王磊;曹慧;
摘要(Abstract):
目的分析早期干预对小儿先天性胆总管囊肿切除术后胃肠功能的影响。方法选取2017年8月至2020年8月徐州市儿童医院收治的92例先天性胆总管囊肿患儿为研究对象。采用随机数字表法将入选患儿分为早期干预组和常规干预组,每组各46例,均行腹腔镜下囊肿切除术,术后给予常规干预,早期干预组患儿在此基础上予以吸吮棒棒糖和早期肠内营养等早期干预。比较两组患儿手术情况、并发症发生情况、术后肠鸣音恢复时间、术后首次排便时间、腹腔引流时间、住院天数。结果两组患儿手术时间、术中出血量比较差异均无统计学意义(均P> 0.05)。早期干预组患儿术后肠鸣音恢复时间、术后首次排便时间均显著早于常规干预组(均P <0.05),术后并发症发生率显著低于常规干预组(P <0.05),腹腔引流时间、住院天数均显著短于常规干预组(均P <0.05)。结论早期干预能够促进先天性胆总管囊肿切除术后患儿胃肠功能恢复,缩短住院天数,降低并发症发生率。
关键词(KeyWords): 先天性胆总管囊肿;腹腔镜手术;早期干预;胃肠功能
基金项目(Foundation): 江苏省卫生健康委2019年度医学科研立项项目(K2019028)
作者(Authors): 李蒙娜;孟晓婉;王磊;曹慧;
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