探讨不同注气压力对婴儿肠套叠注气复位法疗效的影响  

The investigation on the effect of different gas injection pressures on infant intussusception by gas injection reduction method

作　　者：刘超凡 汪建华 罗世康 劳国荣 LIU Chaofan;WANG Jianhua;LUO Shikang;LAO Guorong(Department of Radiology,Zhongshan Boai Hospital Affiliated to Southern Medical University,Zhong shan,Guangdong 528400,Chin)

机构地区：[1]南方医科大学附属中山博爱医院放射科,广东中山528400

出　　处：《检验医学与临床》2018年第12期1756-1758,共3页Laboratory Medicine and Clinic

摘　　要：目的观察不同注气压力对婴儿肠套叠注气复位法脱套率的差异,探讨婴儿肠套叠注气复位法疗效中最佳注气压力状态。方法选取该院2014年9月至2017年10月经7.0kPa诊断性空气灌肠确诊婴儿肠套叠患儿800例作为研究对象,按照注气压力不同,随机分为A、B、C、D 4组,每组各200例。A、B、C、D组注气压力分别为8.0、9.0、10.0、11.0kPa,分别持续注压10min。采用不同注气压力治疗婴儿肠套叠,观察各组脱套率差异。结果 (1)A、B、C、D组脱套率分别为91.50%、90.50%、94.50%、93.00%,800例病例中无穿孔、休克等严重并发症发生。(2)4组患儿在注气压力分别为8.0、9.0、10.0、11.0kPa状态下,脱套率总体差异无统计学意义(P>0.05)。结论在婴儿肠套叠注气复位法疗效中,注气压力分别为8.0、9.0、10.0、11.0kPa,均为有效安全的治疗压力,且对其治疗效果无明显影响,临床上均可选择使用。Objective To observe the difference of different gas injection pressure on intussusception removal rate in infants with intussusception,and to explore the best injection pressure status in the treatment of intussusception by gas injection reduction method.Methods A total of 800 infants with intussusception who were diagnosed by 7.0 kPa diagnostic air enema in the hospital from September 2014 to October 2017 were enrolled in the study.They were randomly divided into A,B,C and D groups with 200 cases each according to the pressure of gas injection.The gas injection pressures in A,B,C and D groups were 8.0 kPa,9.0 kPa,10.0 kPa,11.0 kPa,respectively,and the continuous injection pressure maintained for 10 min.Different injection pressure was used to treat intussusception in infants,and the difference of the rate of intussusception removal was observed.Results（1）The intussusception removal rates of A,B,C and D groups were 91.50%,90.50%,94.50% and 93.00% respectively.No serious complications such as perforation and shock occurred in any patients.（2）There was no significant difference between the four groups in the intussusception removal rates when the gas injection pressures were 8.0,9.0,10.0 and 11.0 kPa,respectively（P〈0.05）.ConclusionIn infant intussusception by gas injection reduction method,the injection pressures are 8.0,9.0,10.0,11.0 kPa,which are effective and safe treatment pressures,and have no obvious influence on the treatment effect,and can be applied for clinical use.

关 键 词：注气压力 婴儿 肠套叠 放射摄影术 灌肠 

分 类 号：R656[医药卫生—外科学]