肠套叠患儿术后康复方式、胃肠功能和炎症因子水平之间的关系。

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2024-08-27 DOI:10.4240/wjgs.v16.i8.2640
Xue-Yan Wei, Hong-Chang Huo, Xin Li, Su-Li Sun, Jun Zhang
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引用次数: 0

摘要

背景介绍肠套叠好发于儿童,且进展迅速。如不及时治疗,可能导致肠穿孔等继发性并发症,影响患儿的生活质量和健康。手术是临床上最常见的治疗方法,效果良好。然而,肠套叠患儿的术后预后与术后康复方法有一定的关系。因此,在本研究中,我们探讨了肠套叠患儿术后康复、胃肠功能和炎症因子表达之间的关系:回顾性分析 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。根据术后康复方法将患者分为常规护理组(6 例)和康复训练组(12 例)。对两组患者的一般资料、胃肠功能和炎症因子水平进行统计分析。对胃肠功能、炎症因子和术后康复进行皮尔逊相关分析:结果:我们发现两组患者在性别、年龄和病程方面无明显差异(P>0.05)。与常规护理组相比,康复训练组首次排便、肠鸣音恢复和肛门排气的时间更短,炎症因子水平更低(P < 0.05)。皮尔逊相关分析显示,胃泌素和动情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、高敏C反应蛋白和肿瘤坏死因子-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),炎症因子水平与术后康复时间呈负相关(P < 0.05):我们发现肠套叠患儿的胃肠功能与术后康复训练呈正相关,炎症因子水平与康复训练呈负相关。
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Relationship between postoperative rehabilitation style, gastrointestinal function, and inflammatory factor levels in children with intussusception.

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.

Aim: 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).

Conclusion: 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.

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