空气灌肠次数和持续时间对小儿肠套叠复位的影响  

Influence of frequency and duration of the air enema on intussusception reduction in children

作　　者：牟方胜[1] 李建容[1] 朱世培[1] 杨染[1] 黄静[1] 李杰[1] 

机构地区：[1]重庆三峡中心医院放射科,重庆404000

出　　处：《实用放射学杂志》2013年第10期1649-1651,共3页Journal of Practical Radiology

摘　　要：评估小儿肠套叠复位操作中施加空气灌肠次数及持续时间对肠套叠整复的影响。方法 回顾分析361例肠套叠患儿的空气灌肠整复的影像资料。按空气灌肠次数（2次空气灌肠间隔时间≥4min）,分为空气灌肠1次组和空气灌肠多次组。按空气灌肠持续时间,分为〈2min和≥2min2组。每次给予压力为10~15kPa。对上述2组整复成功及失败的统计量行χ2 检验,P〈0.05认为空气灌肠次数及持续时间对肠套叠整复成功率差异有统计学意义。结果 361例患儿,空气灌肠整复成功318例。空气灌肠1次共80例,成功47例,空气灌肠多次共281例,成功271例。空气灌肠时间〈2min95例,其中成功68例,空气灌肠时间≥2min266例,其中成功250例。上述2组统计量进行χ2 检验,得出P〈0.05。结论 在每次给予压力为10~15kPa时,增加空气灌肠次数及时间能提高小儿肠套叠整复成功率。Objective To assess the influence of frequency and duration of air enema on intussusception reduction in children. Methods we conducted a retrospective analysis of intussusception reduction with air enema in 361 patients were randomly divided in to two kinds of groups according to the frequency （Group one with a single enema, and Group two with ≥2 enemas）, and according to the duration of air enema （Group A with 〈2 minutes duration, and Group B with ≥2 minutes duration）. The therapeutic effect （ success or failure） between every two groups was compared statistically. Results The total successful rate of the air enema was 88. 1% （318/361）. 47 patients were successful in Group one （n=80） and 271 in Group two （n=281）. 68 were successful in Group A （n=95） and 250 in Group B （n=266）. Statistical differences of the therapeutic effect between every two groups were obtained （P〈0.05 ）. Conclusion Increasing the frequency and duration of air enema in children can improve the successful rate of intussusception reduction.

关 键 词：肠套叠 空气灌肠 次数 持续时间 

分 类 号：R574.3[医药卫生—消化系统] R452[医药卫生—内科学]