小儿坏死性小肠结肠炎伴肠穿92例围手术期护理体会

目的 探讨个性化的护理指导对小儿坏死性小肠结肠炎伴肠穿孔的护理效果。方法：选取 2020 年 3 月至 2021 年 2 月期 间本院收治的 92 例坏死性小肠结肠炎伴肠穿孔患儿作为研究对象。随机将其分为对照组和实验组，每组各 46 例。对照组接受 常规化的护理指导，实验组接受个性化的围手术期护理。分析对比两组的护理依从率、护理有效率、不良反应发生情况以及生 活质量。结果 实验组的护理依从率显著高于对照组（P<0.05）。实验组的护理有效率显著高于对照组（P<0.05）。实验组的不良 反应发生率显著低于对照组（P<0.05）。两组护理前的神经功能，生理功能以及肢体功能无显著差异（P>0.05）。两组护理后的 神经功能，生理功能以及肢体功能显著提升，并且实验组显著优于对照组（P>0.05）。结论 将个性化的护理措施运用到小儿坏 死性小肠结肠炎伴肠穿孔围手术护理中，可提升患儿的护理依从率和护理有效率，减少临床的不良反应发生，提升生活质量。

Experience of necrotizing enterocolitis with intestinal wear

Objective:To experience the perioperative care of 92 children of necrotizing enterocolitis with intestinal perforation.Methods: In this study, 92 children with necrotizing enterocolitis with intestinal perforation were admitted from March 2020 to February 2021, which were divided into two groups: children in the control group received routine nursing guidance; the experimental group received personalized nursing guidance to analyze the nursing effect of children during perioperation.Results:Comparison of comprehensive treatment compliance rate: 45 cases (97.83%) in the experimental group and 40 cases (86.96%) in the control group, (p <0.05).Comparison of comprehensive nursing efficiency: 45 cases (97.83%) in the experimental group and 39 cases (84.78%) in the control group, (p <0.05).Two cases (4.35%) and 8 cases (17.39%) occurred (p <0.05); before the intervention, the neurological function, physiological function and limb function of the two groups were not different and the score, the comprehensive function was improved and the recovery effect was good, indicating the ideal effect under perioperative care.Conclusion:The application of personalized nursing measures to the perioperative nursing of pediatric necrotizing enterocolitis with intestinal perforation can improve the nursing effect, such as compliance rate and efficiency, and reduce the occurrence of clinical adverse reactions.