中药灌肠治疗婴幼儿肠套叠98例  

Chinese traditional medicine treat 98 cases of infants intussusception

作　　者：何时鸣[1] 易运连[1] 高卫华[1] 潘永斌[1] 白剑[1] 梁永雄[1] 何淑媚[1] 肖声扬[1] 

机构地区：[1]广州中医药大学附属南海区妇产儿童医院,广东佛山528200

出　　处：《中医儿科杂志》2010年第3期30-32,共3页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的提高对B超指导下行中药灌肠的病例选择、操作要点及对婴幼儿肠套叠的诊断、疗效等临床价值的认识。方法婴幼儿肠套叠98例,先予补液及镇静解痉等处理,然后在B超指导下行中药灌肠治疗。灌肠成功者予补液、抗感染等治疗,并予以口服活性炭评估治疗效果。结果 B超指导下中药灌肠成功率为97.9%,患儿复位后均在8h内可排出黑色炭剂,无肠坏死等并发症。结论 B超指导下顺腑汤中药灌肠治疗,不但可利用水液汤剂压力使套叠肠管复位,亦可通过肠管对中药有效成分的吸收,促进患儿复位后肠功能恢复,且可避免X线透视下行空气灌肠所致射线伤害,操作简单、安全,值得临床推广。Objective To increase knowledge of the clinical values of case selection, points, diagnosis and curative effects of enema with Chinese traditional medicine under type-B key operation ultrasonic in- spection for treatment of intussusception in infants. Methods 98 cases of pediatric intussusception were given fluid infusion and sedative spasmolytic before administering enemas with Chinese traditional medicine under type-B ultrasonic inspection. For successful cases, gave fluid infusion and anti-infection treatment, and give oral activated charcoal to evaluate effects. Results charged within 8 hours, with no such complications ditional medicine under type-B ultrasonic inspection Success rate was 97.9 %, the activated charcoal was dis- as bowel necrosis. Conclusion Enema with Chinese tra- can not only reduce intussusception by the pressure of de- coction, but also help restore intestinal functions through absorbance of effective elements of Chinese tradition- al medicine. In addition, it can avoid the radial damage of air enema under X-ray inspection. It is simple, safe, and worth promoting for clinical application.

关 键 词：婴幼儿肠套叠 中药灌肠 B超 

分 类 号：R574.2[医药卫生—消化系统]