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中文摘要: 目的 探讨儿童慢性胰腺炎胰胆管造影术(Endoscopic Retrograde Cholangiopancreatography,ERCP)后给予微信平台健康教育的效果。方法 选取2016年2月—2018年2月,在上海中医药大学附属曙光医院112例行ERCP术治疗的慢性胰腺炎患儿进行研究,将已经完成 ERCP治疗的56例患儿为对照组,将后期再次接受ERCP手术治疗的患儿以配对分组形式纳入实验组,给予对照组患儿及家属常规健康教育指导,对实验组患儿及家属在常规指导基础上采用微信平台健康教育,比较两组患儿在干预实施后的身高、体重情况、营养指标状况以及慢性胰腺炎复发率。结果 实施干预后,实验组患儿的身高及体重大于对照组患儿(P<0.05);实验组患儿的血清白蛋白、血清前白蛋白、血清转铁蛋白三个指标水平均高于对照组(P<0.05);实验组患儿慢性胰腺炎复发率为3.57%,明显低于对照组的14.29%(2=3.953,P=0.047)。结论 在儿童慢性胰腺炎ERCP术后进行微信平台健康教育可以较好地提升患儿的营养吸收水平,促进其生长发育,降低患儿慢性胰腺炎的复发率,具有较好的临床效果,值得进行大力推广应用。
Abstract:OBJECTIVE To investigate the effect of ERCP on the health education of WeChat platform in children with chronic pancreatitis. METHODS From February 2016 to February 2018, 112 children with chronic pancreatitis who underwent ERCP were selected in the target center. 56 children who had completed ERCP treatment were selected as the control group, and they would receive ERCP again later. The children who underwent surgery were included in the experimental group in a matched group, and the children in the control group and their families were given regular health education guidance. The children and their families in the experimental group were given the WeChat platform health education on the basis of routine knowledge, and the two groups were intervened. Height, weight, nutritional status, and recurrence rate of chronic pancreatitis after implementation were compared. RESULTS After the intervention, the height and weight of the children in the experimental group were higher than the control group (P<0.05). The serum albumin, serum prealbumin and serum transferrin levels in the experimental group were higher than the control(P<0.05); the recurrence rate of chronic pancreatitis in the experimental group was 3.57%, which was significantly lower than 14.29% in the control group (P=0.047). CONCLUSION WeChat platform health education in children with chronic pancreatitis after ERCP could improve the nutritional absorption level of children, promote their growth and development, and reduce the recurrence rate of chronic pancreatitis in children. It had good clinical effect, which was worthy of carrying out the application.
文章编号:3201910018 中图分类号:R1-9 文献标志码:
基金项目:
| 作者 | 单位 |
| 张 薇①,赵丽娜①# |
| Author Name | Affiliation |
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