摘要
目的探讨小儿肠套叠空气灌肠复位后早期复发的影响因素,并就此影响因素提出防护措施。方法选取2016年9月至2019年9月我科收治的80例小儿肠套叠行空气灌肠复位治疗患儿临床资料,其中有15例患儿复位后出现早期复发,采用单因素和多因素logistic回归分析影响小儿肠套叠空气灌肠复位后早期复发的危险因素。结果单因素分析结果表明,患儿年龄、居住地、首次发病、喂养方式、发病前腹泻症状、禁食时间、是否病毒性肠炎、继发腹泻是肠套叠患儿空气灌肠复位后早期复发的影响因素(P <0. 05);多因素logistic回归分析表明,年龄、禁食时间、病毒性肠炎、继发腹泻是肠套叠患儿空气灌肠复位后早期复发的独立危险因素(P <0. 05)。结论护理人员应根据小儿肠套叠行空气灌肠复位患儿的年龄和感染菌群决定患儿进食时间和类别,且应辅助主治医师确认复位后再次充气。
Objective To explore the influential factors of early recurrence after intussusception air enema restoration in children,and to put forward preventive and protective measures. Methods To select the clinical data of 80 cases of children patients with intussusception and air enema restoration treated in our department from September 2016 to September 2019. Among them,15 patients had early recurrence after restoration. Univariate and multivariate logistic regression were used to analyze the risk factors of early recurrence after intussusception air enema restoration in children. Results Univariate analysis showed that the age,place of residence,first onset,feeding pattern,symptoms of diarrhea before onset,fasting time,whether or viral enteritis,and secondary diarrhea were influential factors for early recurrence after air enema restoration in children patients with intussusception( P < 0. 05). Multivariate logistic regression analysis showed that the age,fasting time,viral enteritis,and secondary diarrhea were independent risk factors for early recurrence after air enema restoration in children patients with intussusception( P < 0. 05). Conclusion Nursing staff should decide the time and type of children’s feeding based on the age and infection flora of children patients with intussusception and air enema restoration,and should assist the attending physician to confirm reinflation after restoration.
出处
《护理实践与研究》
2019年第24期77-79,共3页
Nursing Practice and Research
关键词
肠套叠
空气灌肠复位
早期复发
临床特点
影响因素
防护措施
Intussusception
Air enema reduction
Early recurrence
Clinical characteristics
Influencing factors
Protective measures
