目的 探讨口服西甲硅油乳剂联合甘油灌肠剂灌肠在婴儿经腹腔入路腹腔镜肾盂成形术中的应用效果。方法 选取2020-06至2021-06解放军总医院第七医学中心收治的需经腹腔入路腹腔镜肾盂成形术治疗的80例肾盂输尿管连接部梗阻婴儿作为研究对象。采用随机数字表法分为试验组和对照组,各40例。对照组术前常规采用甘油灌肠剂灌肠,试验组术前采用甘油灌肠剂灌肠同时口服西甲硅油乳剂。比较两组患儿手术操作时间、术中经皮穿刺肠管抽气次数,术中辅助孔增加数目,患儿术后首次排气时间及术后进食时间。结果 试验组患儿手术操作时间[(2.1±0.3)h]较对照组[(2.8±0.2)h]缩短,术中经皮穿刺肠管抽气次数[(2.3±0.8)次]较对照组[(5.1±1.1)次]减少,术后首次排气时间[(1.05±0.23)d]较对照组[(2.75±0.93)d]缩短,术后进食时间[(3.17±0.74)d]较对照组[(4.31±0.95)d]缩短,差异具有统计学意义(P<0.05)。试验组患儿术中增加辅助孔数目[(0.55±0.39)个]较对照组[(1.15±0.73)个]少,术后胃肠道并发症发生率(7.5%)低于对照组(22.5%),差异均具有统计学意义(P<0.05)。结论 接受经腹腔入路腹腔镜肾盂成形术治疗的婴儿,在术前采用甘油灌肠剂灌肠联合口服西甲硅油乳剂治疗,可以使肠道瘪陷,便于手术操作,且安全性好。
Abstract
Objective To investigate the effect of oral simethone emulsion and glycerin enema cleaning enema on peritoneal approach laparoscopic pyeloplasty in infants. Methods From June 2020 to June 2021, 80 infants with ureteropelvic junction obstruction treated by peritoneal approach laparoscopic pyeloplasty were selected as the research subjects, and were randomly divided into experimental group and control group, 40 cases in each group.The control group was routinely given glycerin enema cleaning enema before surgery, and the experimental group was given glycerin enema cleaning enema while taking simethone emulsion orally before surgery.The operative time, number of percutaneous intestinal gas extraction, number of auxiliary holes, first postoperative exhaust time and postoperative feeding time were compared between the two groups. Results Group of children in surgical operation time [(2.1±0.3) h] than the control group [(2.8±0.2) h] shortened, was integrated by skin biopsy insufflate extraction times [(2.3±0.8) times]than the control group [(5.1±1.1) times] is reduced,The first postoperative exhaust time [(1.05±0.23)d] was shorter than that of the control group [(2.75±0.93)d], and the postoperative feeding time [(3.17±0.74)d] was shorter than that of the control group [(4.31±0.95)d], with statistically significant differences (P<0.05).The number of auxiliary pores in experimental group (0.55±0.39) was less than that in control group (1.15±0.73), and the incidence of postoperative gastrointestinal complications (7.5%) was lower than that in control group (22.5%), the differences were statistically significant (P<0.05). Conclusion Glycerin enema combined with oral simethone emulsion can make the intestinal tract constricted, which is convenient for operation and safe for infants undergoing peritoneal approach laparoscopic pyeloplasty.
关键词
儿童 /
腹腔镜 /
清洁灌肠 /
西甲硅油
Key words
children /
laparoscope /
clean enema /
simethone
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