儿童直肠悬浮中的管类型和疼痛反应:一项前性研究
T Kadiroğlu1, E Dursun2,3
1Department of Pediatric Nursing, Atatürk University, Erzurum, Turkey.
Nigerian journal of clinical practice
|December 29, 2025
概括
儿科功能性便秘的直肠悬浮会引起疼痛. 使用导管应用器,而不是标准应用器,可显著减少疼痛,并且在临床上更合适.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童疼痛管理 在儿童疼痛管理
- 临床程序的有效性 临床程序的有效性
背景情况:
- 功能性便秘在儿童中很常见,通常用直肠支 suppositories 进行管理.
- 不同的直肠悬浮输送设备对儿科疼痛的影响尚未得到充分了解.
研究的目的:
- 为了比较1至3岁的儿童的疼痛感知,这些儿童接受了功能性便秘的直肠悬浮.
- 根据使用的输送装置来评估疼痛的差异:应用器与导管.
主要方法:
- 在土耳其儿科急诊室对156名患有功能性便秘的儿童 (1-3岁) 进行前性观察研究.
- 儿童接受的是醇+甘油 (SG) 或单基酸脱水酸+二基酸十二水酸 (MD) 直肠悬浮剂.
- 使用面部,腿部,活动,哭泣和安慰 (FLACC) 行为尺度来评估疼痛.
主要成果:
- 与导管组 (SG: 4.75,MD: 5.09) 相比,应用器组 (SG: 8.09,MD: 8.72) 的平均FLACC得分显著更高 (P ≤ 0.001).
- 心率 (HR) 较高,氧和度 (SpO2) 在应用器与导管 (P ≤ 0.001) 的手术中较低.
- 61.9%的儿童以前经历过2至3次便秘.
结论:
- 用直肠悬浮剂给药会在有功能性便秘的儿童中引起疼痛.
- 导管给药导致中度疼痛,而应用器给药导致平均以上的疼痛.
- 使用导管用于直肠悬浮是一种更适合临床和对儿童来说不那么痛苦的选择.
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