关键词: 指导, 灌肠, 先天性巨结肠症, 新生儿, 家庭

Abstract: Objective To explore a more suitable method for preoperative family rectal irrigation care for neonates with Hirschsprung's disease （HSCR）. Methods A randomized block design method was used to divide 100 neonates with HSCR who were <3 months old into 50 cases each in the routine group and the intervention group. Parents in the routine group received regular rectal irrigation guidance. Parents in the intervention group receive guidance of implementing rectal irrigation according to the indicators of good practice of family rectal irrigation. Tailored family rectal irrigation was performed to their child. The incidences of abdominal distension, abdominal drum sound, stool traits, enterocolitis, and intestinal perforation were compared between the two groups before and after intervention. The chi-square test was used to compare the results of the two groups. Results There were no significant differences in neonates' age, diagnosis of HSCR and parental education level between the two groups. There were 15 cases and 4 cases in the abdomen with drum sounds in the routine and intervention group respectively, χ²=6.50, P=0.01. Stool color was not fresh with stench odor was shown in 8 cases in the routine group and 1 in the intervention group respectively, χ²=4.40, P=0.03. There were no enterocolitis, intestinal perforation or decreased milk intake after family rectal irrigation in both groups. Conclusion Tailored family rectal irrigation care for neonates with HSCR is recommended as a new standard of guidance for family rectal irrigation care. It is safe and effective, and is easily accepted by parents who do not have medical expertise. It can be used in families with HSCR neonates.

Key words: guidance, neonates, family, Hirschsprung's disease （HSCR）, rectal irrigation