摘要
目的 分析儿童先天性巨结肠肠道准备中应用床旁超声的实际情况。方法 在 2020 年 1 月至 2022 年
12 月，对 70 例先天性巨结肠患儿进行研究，按照简单随机抽样方法分组为对照组和试验组，分别为 34 例和 36
例。方法分别为常规术前肠道准备和床旁超声，对组间的各项指标进行比对分析（疼痛评分、肠道清洁度评分、
舒适度）。结果 试验组的疼痛评分低于对照组，数值比较意义为 P<0.05；肠道清洁度评分比较，试验组数值改
善；且试验组的舒适度优于对照组，数值比较意义为 P<0.05。结论 床旁超声在儿童先天性巨结肠肠道准备中应
用效果良好，能有效缩短术前的肠道准备时间。
关键词： 床旁超声；回流灌肠；先天性巨结肠；肠道准备
Abstract
Objective To analyze the practical application of bedside ultrasound in intestinal preparation for
congenital megacolon in children. Method From January 2020 to December 2022, a study was conducted on 70 children
with congenital megacolon. They were divided into a control group and an experimental group using a simple random
sampling method, with 34 cases and 36 cases, respectively. The methods were routine preoperative intestinal preparation
and bedside ultrasound, and various indicators between the groups were compared and analyzed (pain score, intestinal
cleanliness score, comfort level). Result The pain score of the experimental group was lower than that of the control
group, with a comparative significance of P<0.05; Comparison of intestinal cleanliness scores showed improvement in
the experimental group; And the comfort level of the experimental group was better than that of the control group, with a
numerical comparison significance of P<0.05. Conclusion Bedside ultrasound has a good effect in the preparation of the
intestine for congenital megacolon in children, and can effectively shorten the preoperative intestinal preparation time.
Key words： bedside ultrasound; Reflux enema; Congenital megacolon; Intestinal preparation
参考文献 References
[1] 张现伟,张飞,侯广军,等. 先天性巨结肠儿童肠道菌群特异性 变 化 [J]. 湖 南 师 范 大 学 自 然 科 学 学 报 ,2019,42（4）:53-58,65.
[2] 余辉,潘伟康,高亚. 先天性巨结肠肠道微环境异常及其临床转化潜能[J]. 中华小儿外科杂志,2023,44（8）:752-758.
[3] Sucari S C,Vlok,Sam W,Moore,Pawel T,Schubert,RichardD,Pitcher.Accuracy of colonic mucosal patterns at contrastenema for diagnosis of Hirschsprung disease.[J].Pediatricradiology,2020,50（6）:810-816
[4] International Agency for Research on Cancer.GLOBOCAN2008[EB/OL].http://globocan.iarc.fr/factsheets/populations/factsheet.asp?uno=160，2011-09-20
[5] Heuckeroth RO. Hirschsprung disease - integrating basicscience and clinical medicine to improve outcomes. Nat RevGastroenterol Hepatol. 2018;15:152–167.
[6] 伍美,董彦清,王国辉,等. 基于QIIME 2 平台对先天性巨结肠患儿与正常儿童肠道菌群的比较分析[J]. 中华小儿外科杂志,2023,44（1）:35-42.
[7] 王芳芳,卞秀欣. 家庭参与式护理模式对先天性巨结肠患儿术前肠道准备质量、依从性及身心应激的影响[J]. 国际护理学杂志,2023,42（4）:754-757.
[8] 徐丰,郭春娜,王瑾. 不同改良 Soave 根治术对先天性巨结肠长段型患儿肠道微生物定植抗力及肛门功能的影响[J]. 罕少疾病杂志,2022,29（8）:77-79.
[9] 刘圆方,赵成鹏,段永福,等. 家庭参与式护理在小儿先天性巨结肠术前肠道准备中的应用[J]. 临床医学工程,2022,29（10）:1411-1412.
[10] 黄燕,史雯嘉,熊紫薇,等. 加速康复外科理念在先天性巨结肠症患儿术前肠道准备中的应用效果[J]. 当代护士（中旬刊）,2022,29（7）:59-61.
[11] 赵平,李婷,李志,等. 平滑肌蛋白抗体、组织蛋白酶 D、S-100蛋白在先天性巨结肠患儿肠道组织内的表达及意义[J]. 中华实验外科杂志，2021,38（4）：726-729.
[12] 朱丹,余洪兴,卞荆晶,等. 先天性巨结肠患儿术前肠道准备的家庭参与式护理[J]. 护理学杂志,2019,34（22）:37-40.