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游戏互动模式干预对小儿先天性巨结肠症的效果

【来源：《华夏医学》编辑部 | 作者：华夏医学编辑部 | 编辑：李佳睿 | 发布日期：2022-10-11】

游戏互动模式干预对小儿先天性巨结肠症的效果

王睿琪侯鹏莉马文芳

郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院新生儿外科

摘要：目的：探讨游戏互动模式干预对小儿先天性巨结肠症（HD）的效果。方法：选取87例HD围手术期患儿作为研究对象，采用随机数字表法分成两组，对照组43例给予常规干预，观察组44例在对照组基础上增加游戏互动模式干预。对比两组患儿胃肠功能恢复状态、营养状态及疼痛程度。结果：观察组术后24 h、48 h、72 h儿童事件影响量表（CRIES）评分均低于对照组（P＜0.05）;观察组首次肛门排气时间、首次肠鸣音恢复时间、首次经口进食时间用时均短于对照组（P＜0.05）;观察组干预后，血清血红蛋白（Hb）、白蛋白（ALB）、前白蛋白（PA）、血清总蛋白（TP）水平均高于对照组（P＜0.05）。结论：游戏互动模式干预能有效促进HD患儿胃肠道功能恢复，改善营养状态，降低疼痛程度。

关键词：游戏互动模式;小儿先天性巨结肠症;胃肠功能;疼痛;

Effect of game interaction mode on children with Hirschsprung′s disease

WANG Ruiqi,HOU Pengli,MA Wenfang.(Neonatal Surgery,Children′s Hospital Affiliated toZhengzhou University / Henan Children′s Hospital / Zhengzhou Children′s Hospital,Zhengzhou450000,China)

AbstractObjective: To investigate the effect of game interaction mode on children with Hirschsprung′sdisease(HD). Methods: A total of 87 perioperative HD children were selected as the research objects, andrandomized into two groups. 43 patients in the control group were given conventional intervention, whileanother 44 patients in the observation group received additional game interaction mode on the basis of thecontrol group. And the gastrointestinal function recovery, nutritional status and pain degree were comparedbetween the two groups. Results: The Children′s Revised Impact of Event Scale(CRIES) scores at 24 h,48 h, and 72 h after the operation were lower than those in the control group(P<0.05); the time of firstanal exhaust, first bowel sound recovery, and first oral feeding in the observation group was shorter thanthat in the control group(P< 0.05); after intervention, the serum hemoglobin( Hb), albumin(ALB),prealbumin(PA)and serum total protein(TP)levels in observation group were higher than those in controlgroup (P< 0. 05). Conclusion: Game interaction mode has definite effect on children with HD in theperioperative period, which can effectively promote the recovery of gastrointestinal function, improvenutritional status, and reduce pain in patients.

Keywords: game interaction mode; Hirschsprung′s disease; gastrointestinal function; pain

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