背景:肠套叠发生在儿童中,进展迅速。如果不及时治疗,它可能导致继发性并发症,如肠穿孔,影响儿童的生活质量和健康。手术是临床上最常见的治疗方法,具有良好的疗效。然而,肠套叠患儿的术后预后与术后康复方法有关。因此,在这项研究中,我们探讨了术后康复之间的关系,胃肠功能,炎症因子在小儿肠套叠中的表达。
目的:探讨术后康复的关系,胃肠功能,肠套叠患儿的炎症因子水平。
方法:对2022年10月至2024年5月期间我院收治的18例肠套叠手术患儿的病历进行回顾性分析。根据术后康复方法分为常规护理组(n=6)和康复训练组(n=12)。一般数据,胃肠功能,对两组患者的炎症因子水平进行统计学分析。胃肠功能的Pearson相关性分析,炎症因子,并进行了术后康复。
结果:我们发现性别没有显著的组间差异,年龄,或病程(P>0.05)。第一次排便的时代,肠鸣音恢复,与常规护理组相比,康复训练组肛门排气时间更短,炎症因子水平更低(P<0.05)。Pearson相关性分析显示胃泌素和胃动素水平与术后康复呈正相关(P<0.05)。白细胞介素(IL)-2,IL-4,IL-6,IL-10,超敏C反应蛋白,肿瘤坏死因子-α水平与术后康复呈负相关(P<0.05)。胃肠功能呈正相关(P<0.05),炎性因子水平与术后恢复时间呈负相关(P<0.05)。
结论:我们发现胃肠功能与术后康复训练呈正相关,炎性因子水平与小儿肠套叠康复训练呈负相关。
BACKGROUND: Intussusception occurs in children and progresses rapidly. If not treated in time, it may lead to secondary complications such as intestinal perforation, which affect the quality of life and health of children. Surgery is the most common clinical treatment and has a good effect. However, the postoperative prognosis of children with intussusception has a correlation with the postoperative rehabilitation method. Therefore, in this study, we explored the relationship between postoperative rehabilitation, gastrointestinal function, and the expression of inflammatory factors in children with intussusception.
OBJECTIVE: To explore the relationship between postoperative rehabilitation, gastrointestinal function, and inflammatory factor levels in children with intussusception.
METHODS: The medical records of 18 children who were admitted to our hospital for intussusception surgery between October 2022 and May 2024 were retrospectively reviewed. The patients were divided into the routine nursing group (n = 6) and rehabilitation training group (n = 12) according to the postoperative rehabilitation method. The general data, gastrointestinal function, and inflammatory factor levels of the two groups were statistically analyzed. Pearson correlation analysis of gastrointestinal function, inflammatory factors, and postoperative rehabilitation was performed.
RESULTS: We found no significant intergroup differences in sex, age, or disease course (P > 0.05). The times to first defecation, bowel sound recovery, and anal exhaust were shorter and inflammatory factor levels were lower in the rehabilitation training group than in the routine nursing group (P < 0.05). Pearson correlation analysis showed that gastrin and motilin levels were positively correlated with postoperative rehabilitation (P < 0.05). Interleukin (IL)-2, IL-4, IL-6, IL-10, high-sensitivity C-reactive protein, and tumor necrosis factor-α levels were negatively correlated with postoperative rehabilitation (P < 0.05). Gastrointestinal function was positively correlated (P < 0.05), and levels of inflammatory factors were negatively correlated with postoperative recovery time (P < 0.05).
CONCLUSIONS: We found a positive correlation between gastrointestinal function and postoperative rehabilitation training, and a negative correlation between inflammatory factor levels and rehabilitation training in children with intussusception.