肠神经元发育异常患儿术后康复治疗与疗效评价

目的探讨肠神经元发育异常患儿术后康复治疗的方法和意义。方法针对我院近年来收治的肠神经元发育异常患儿有可能出现术后肠功能紊乱、污粪、反复腹胀、便秘、反复小肠结肠炎及心理疾患等情况,选择性采用扩肛器扩肛、有效药物保留灌肠、生物反馈治疗、中药调理、饮食指导、心理辅导等康复措施,并以临床症状的改善、社会生活质量的提高,肠炎的发生与转归及直肠肛门测压的变化情况来评估患儿术后康复治疗的效果。结果获得随访的136例患儿经康复治疗后症状均有所好转,其中56例复查直肠肛门测压,直肠肛管松弛反射（RAIR）的重现率为55%。结论康复治疗可以改善术后并发症,是手术后肠功能紊乱等症状的有效治疗方法。

Postoperative rehabilitation therapy for patients with Neuronal intestinal malformations and evaluation of the curative effect

Objective To discuss the method and effect of postoperative rehabilitation therapy for patients with neuronal intestinal malformations (NIM). Methods Accord to the different postoperative complications of NIM,such as intestine functional disorder,fecal incontinence,abdominal distention,constipation,enterocolitis and psychological affection,a series of rehabilitation therapy were carried out,these therapy including anal dilation by anus dilator,colon irrigation with drug,biofeedback therapy,regulation by Chinese herbs,guidance of taking food,psychological help and evaluated the curative effect through the changes of clinical symptoms,increasing social life quality,occurrence and outcome of enterocolitis or anorectal inhibitory reflex (RAIR). Results After the postoperative rehabilitation therapy,the symptoms was obviously improved in the 136 patients. And 56 patients obtained the RAIR (rectoanal inhibitory reflex) rate of 55% rechecked by anorectal manometry. Conclusions Carrying out postoperative rehabilitation therapy could effectively improve patients postoperative complications.