Zhu Li-Bo, Xu Yan-Hua, Li Jin-Fen, Hu Xue, Lu Chun-Yan, Li Rui-Lan, Shi Cai-Ping, Yuan Mei
Department of Neonatology, Kunming Children's Hospital, Kunming, China.
Front Surg. 2022 May 17;9:813052. doi: 10.3389/fsurg.2022.813052. eCollection 2022.
The present study aimed to explore the effectiveness of clinical application of kangaroo mother care (KMC) in neonates after surgery for duodenal obstruction in achieving total enteral nutrition (TEN) and shortening the length of hospital stay.
A prospective study of 60 cases of surgery for duodenal obstruction in pediatric patients in the neonatal intensive care unit of Kunming Children's Hospital between January 2018 and December 2019 was conducted. The study subjects included 15 cases with intestinal malrotation, 18 cases with circular pancreas, 10 cases with a duodenal septum, and 17 cases with duodenal atresia or duodenal stenosis. According to the single and double numbers of the operation date, the subjects were randomly divided into the control group and observation group, with 30 cases in each group. The conventional care of enhanced recovery after surgery (ERAS) was carried out in the control group, and KMC based on ERAS conventional care was implemented in the observation group. The difference in the duration to achieve TEN and the length of hospital stay between the two groups of patients after care was compared and analyzed.
The average duration to achieve TEN for neonates with duodenal obstruction in the control group was 14.23 ± 3.17 days, while that in the observation group was 12.27 ± 1.15 days. The average length of hospital stay in the control group was 17.22 ± 4.71 days, while that in the observation group was 13.34 ± 2.70 days. There was a significant difference in the duration to achieve TEN and the average length of hospital stay between the two groups ( < 0.05). The duration to achieve TEN and the length of hospital stay in pediatric patients were significantly shorter in the observation group than in the control group.
Kangaroo mother care has important clinical significance and application value in shortening the duration to achieve TEN and the length of hospital stay in neonates after surgery for duodenal obstruction.
本研究旨在探讨袋鼠式护理（KMC）在十二指肠梗阻新生儿术后实现全肠内营养（TEN）及缩短住院时间方面的临床应用效果。
对2018年1月至2019年12月在昆明市儿童医院新生儿重症监护病房接受十二指肠梗阻手术的60例儿科患者进行前瞻性研究。研究对象包括15例肠旋转不良、18例环状胰腺、10例十二指肠隔膜及17例十二指肠闭锁或十二指肠狭窄患者。根据手术日期的单双数，将研究对象随机分为对照组和观察组，每组30例。对照组采用术后加速康复（ERAS）的常规护理，观察组在ERAS常规护理基础上实施KMC。比较分析两组患者护理后达到TEN的时间及住院时间的差异。
对照组十二指肠梗阻新生儿达到TEN的平均时间为14.23±3.17天，观察组为12.27±1.15天。对照组的平均住院时间为17.22±4.71天，观察组为13.34±2.70天。两组在达到TEN的时间及平均住院时间方面存在显著差异（<0.05）。观察组儿科患者达到TEN的时间及住院时间明显短于对照组。
袋鼠式护理在缩短十二指肠梗阻新生儿术后达到TEN的时间及住院时间方面具有重要的临床意义和应用价值。
