目的探讨小儿脓毒症治疗中应用早期集束化护理对患儿肠胃功能的预防价值。方法选择2014年1月~2017年1月本院收治的60例小儿脓毒症患儿为研究对象,将所有患儿随机分为对照组和观察组,每组各30例。对照组患儿进行常规护理,观察组患儿进行早期集束化护理。使用急性生理与慢性健康评分、肠胃功能障碍评分及D-乳酸水平的变化,对比两组患儿在护理前后的慢性健康状况及急性生理学状况。结果通过观察和分析,两组患儿在护理后的慢性健康及急性生理学状况都具有明显的变化,分数均比治疗之前低,差异具有统计学意义(P<0.05),且在护理之后观察组患儿的分数要比对照组患儿分数低,差异具有统计学意义(P<0.05);对照组患儿在护理前后的肠胃功能评分分数并没有太大变化,数据差异无统计学意义(P>0.05),观察组患儿在护理之后的肠胃功能评分分数比护理之前要低,并且比对照组患儿在护理之后的分数要低,数据差异具有统计学意义(P<0.05);两组患儿护理之后的血浆D-乳酸水平均有所降低,数据差异具有统计学意义(P<0.05),并且观察组患儿在护理之后的血浆D-乳酸水平明显比对照组要小(P<0.05)。结论小儿脓毒症治疗中应用早期集束化护理对患儿肠胃功能具有明显的预防作用,值得临床应用及推广。 Objective To investigate the preventive value of early intensive care on the gastrointestinal function in children with sepsis. Methods From January 2014 to January 2017, 60 infants with pediatric sepsis admitted to our hospital were selected as the research objects. All children were randomly divided into control group and observation group, with 30 cases in each group. Children in the control group received routine nursing care and children in the observation group received early intensive care. Acute physiology and chronic health scores, gastrointestinal dysfunction scores and D-lactate levels were used to compare the chronic health status and acute physiology status of the two groups before and after nursing. Results Through observation and analysis, both groups had obvious changes in chronic health and acute physiological status after nursing, the scores were lower than before treatment, the difference was statistically significant (P <0.05), and in the observation group after nursing The scores of children in the control group were lower than those in the control group (P <0.05). The score of gastrointestinal function before and after nursing in the control group did not change much, and there was no significant difference between the two groups (P > 0.05). The score of gastrointestinal function score after nursing in observation group was lower than that before nursing, and the score after nursing in control group was lower, the difference was statistically significant (P <0.05). Two groups The level of plasma D-lactate decreased after the nursing of children, the difference was statistically significant (P <0.05), and the plasma level of D-lactate in the observation group was significantly lower than that of the control group (P < 0.05). Conclusion The application of early intensive care in pediatric sepsis treatment has obvious preventive effect on gastrointestinal function in children, which is worthy of clinical application and promotion.