Moxibustion Combined with Non-nutritive Sucking and Low Enema in Improving Gastrointestinal Function after Enterostomy Restoration in Children
Objective:To investigate the effect of moxibustion combined with non-nutritive sucking and low enema on the gastrointestinal function after enterostomy restoration in children.Method:A total of 140 children hospitalized in the Department of Neonatal Surgery in the Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region from July 2022 to June 2023 after enterostomy restoration were selected and divided into four groups according to random number table method,with 35 cases in each group.The control group was given low enema+non-nutritional sucking,intervention group 1 was given moxibustion+non-nutritional sucking,intervention group 2 was given moxibustion+low enema;intervention group 3 was given moxibustion+low enema+non-nutritional sucking.The indexes of gastrointestinal function,parenteral nutrition,abdominal circumference and complication rate were compared among all groups.Result:The gastric juice color recovery time,bowel sound recovery time and abdominal circumference recovery time in intervention group 3 were earlier than control group,intervention group 1 and intervention group 2,and the first defecation time was earlier than control group and intervention group 1,the differences were statistically significant(P<0.05).The gastric juice color recovery time,bowel sound recovery time and abdominal circumference recovery time of intervention group 2 were earlier than those of control group,and the differences were statistically significant(P<0.05).The recovery time of intestinal sound and abdominal circumference in intervention group 1 were earlier than that in control group,and the differences were statistically significant(P<0.05).The milk opening time and hospital stay in intervention group 3 were shorter than those in control group,intervention group 1 and intervention group 2,and the whole mouth feeding time and parenteral nutrition time were shorter than those in control group,the differences were statistically significant(P<0.05).The length of hospitalization in intervention group 1 and intervention group 2 were shorter than those in control group,and the differences were statistically significant(P<0.05).On 3 d,5 d after surgery,there were significant differences in abdominal circumference between the four groups(P>0.05).The difference of abdominal circumference at different time between the four groups was statistically significant(Ftime=187.944,P<0.001);the difference between the four groups was statistically significant(Fgroup=4.175,P=0.007);there was an interaction between the time and the groups(Finteraction=10.407,P<0.001).There was no anastomotic fistula in the four groups,and there was no significant difference in the incidence of vomiting,diarrhea and intestinal obstruction among the four groups(P>0.05).Conclusion:Moxibustion combined with non-nutritional sucking and low enema can promote the recovery of gastrointestinal function and reduce the incidence of early complications after enterostomy restoration in children.
Enterostomy restorationMoxibustionNon-nutritive suckingEnema of low positionAfter operationGastrointestinal function