传统钡剂与不同比例的炒面粉配比硫酸钡在排粪造影中的临床效果对比  

Comparison of clinical effects of traditional barium sulfate with different proportion of fried flour ratio of barium sulfate in defecographic examination

作　　者：李华[1] 吴晓伟[1] 王春芹[2] 赵卫红[3] 崔治国[1] 王志东[1] 赵霞[4] LI Hua;WU Xiaowei;WANG Chunqin;ZHAO Weihong;CUI Zhiguo;WANG Zhidong;ZHAO Xia(a.Radiology Department,1b.General Surgery Department,Handan Central Hospital,Handan,Hebei 056001,China;Radiation Department of Handan Environmental Protection Bureau,Handan,Hebei 056000,China;Internal Medicine department,Handan Third Hospital,Handan,Hebei 056000,China)

机构地区：[1]邯郸市中心医院放射科,河北邯郸056001 [2]邯郸市环境保护局辐射处,河北邯郸056000 [3]邯郸市中心医院普外科,河北邯郸056001 [4]邯郸市第三医院内科,河北邯郸056000

出　　处：《安徽医药》2018年第9期1810-1813,共4页Anhui Medical and Pharmaceutical Journal

基　　金：邯郸市科学技术研究与发展计划项目(1523108077-1)

摘　　要：目的探索传统钡剂与不同比例的炒面粉配比硫酸钡在排粪造影中的临床效果差异。方法选取2015年6月至2016年12月来邯郸市中心医院就诊的女性便秘患者60例,根据患者就诊的先后顺序随机分为对照组、实验一组、实验二组,每组20例患者,分别进行传统钡剂及仿真粪便做排粪造影检查,根据影像检查结果,比较不同配比钡剂的临床效果差异。结果三组患者在年龄、便秘时间和是否进行过治疗上的差异无统计学意义(P>0.05)。三组患者排粪造影的临床效果差异显著,在直肠前突方面,实验二组和实验一组差异无统计学意义(P>0.05),但均显著优于对照组;在直肠黏膜显示方面实验二组和对照组差异无统计学意义(P>0.05),但显著优于实验一组;在直肠黏膜内、外脱垂、盆底痉挛综合征和肛管病变等方面,实验二组显著优于实验一组和对照组(P<0.05)。三组患者排粪造影的主观满意度差异显著,实验二组的总体满意度最高(P<0.05)。结论传统钡剂在便秘患者的排粪造影中具有较大的局限性,硫酸钡200 g+炒面粉100 g制作的造影剂不仅制作简单方便,而且显效更好,临床检出率和患者满意度均较高,值得在临床上推广应用。Objective To explore the differences of traditional barium sulfate with different proportion of fried flour ratio of barium sulfate in defecography in the clinical effect. Methods From June 2015 to December 2016,60 female constipation patients who came to Handan Central Hospital from June 2015 to December 2016 were randomly divided into control group,experimental group one,experimental group 2,each group of 20 patients. Traditional barium and simulated feces were examined by defecography,and the clinical effects of different barium were compared. Results The differences in age,duration of constipation and the treatment of the three groups were not significant（P〈0. 05）. The clinical effect of the defecography between the three groups were significant different. In the aspect of rectocele,there was no significant difference between the experimental group and the experimental group（P〈0. 05）,but they were significantly better than the control group; in the rectal mucosa showed experimental group two and control group had no significant difference（P〈0. 05）,but significantly better than the experimental group one; internal rectal mucosal,external prolapse,spastic pelvic floor syndrome and anal lesions,experimental group two was significantly better than the experimental group and the control group（P〈0. 05）. The subjective satisfaction of three groups of patients with defecography was significantly different,experimental group two of the highest overall satisfaction（P〈0. 05）. Conclusion The traditional barium defecography in constipation patients have limitations,barium sulfate 200 g ＋ fried contrast agent 100 grams of flour produced not only the manufacture is simple and convenient,and better effect,clinical detection rate and high patient satisfaction,worthy of clinical application.

关 键 词：硫酸钡 不同比例 炒面粉 排粪造影 临床效果 

分 类 号：R574.62[医药卫生—消化系统] R816.5[医药卫生—内科学]