【摘要】 目的探讨体外循环心脏手术患儿的个体化胃肠功能维护方法及效果。方法将体外循环心脏手术患儿918例随机分为两组。对照组471例按围术期常规护理;干预组447例在此基础上实施个体化胃肠护理方案,术前早期开展胃肠道访视,术中实施排酸引流,术后及时应用"四步监测法"评估胃肠功能,同时加强患儿肠内营养的护理,有效应用胃肠护理手法减少胃肠功能障碍的发生及恶化。结果干预组术后胃肠功能障碍发生率显著低于对照组(P<0.05,P<0.01)。结论个体化胃肠护理可促进体外循环心脏手术患儿术后胃肠功能恢复,减少并发症发生,从而提高手术效果。更多还原

【Abstract】 Objective To explore individualized protection strategy of digestive function for children having scheduled cardiopulmonary bypass surgery.Methods Nine hundred and eighteen children who were going to have cardiopulmonary bypass surgery were randomized into two groups.Patients in the control group(n=471) received routine perioperative nursing care,while those in the experimental group(n=447) additionally were managed with individualized digestive protection protocol,which included preoperative evaluation of digestive function,gastric acid drainage during operation,postoperative evaluation of digestive function timely with four-step method,reinforcement of nutritional therapy,and application of manual massage to reduce the occurrence of gastrointestinal dysfunction.Results The rates of digestive dysfunction was significantly lower in the experimental group than in the control group(P<0.05,P<0.01).Conclusion Individualized digestive function protection protocol helps postoperative recovery of digestive function in children receiving cardiopulmonary bypass surgery.更多还原