复方冬眠灵合剂对小儿嵌顿疝手法复位的影响  

Influence by compound wintermin mixture on manipulative reduction of pediatric incarcerated hernia

作　　者：李文 LI Wen(Department of Pediatrics, First Affiliated Hospital of Southwest Medical University, Luzhou 646000, China)

机构地区：[1]西南医科大学附属第一医院儿外科,646000

出　　处：《中国现代药物应用》2016年第17期22-23,共2页Chinese Journal of Modern Drug Application

摘　　要：目的 探讨复方冬眠灵合剂在小儿嵌顿疝手法复位中的应用效果。方法 284例腹股沟嵌顿疝患儿,随机分为实验组(144例)和对照组(140例)。实验组采用复方冬眠灵合剂配合常规手法复位治疗,对照组仅用常规手法复位治疗。再将对照组中未复位成功的19例患儿随机分为A组(9例)和B组(10例),A组复位失败后让其抬高臀部休息1~2h后再行常规手法复位,B组复位失败后肌内注射复方冬眠灵合剂,抬高臀部1~2h后再行手法复位。对比各组效果。结果 实验组复位成功率为95.14%,高于对照组的86.43%(P<0.05)。B组复位成功率为90.00%,高于A组的44.44%(P<0.05)。结论 小儿嵌顿疝在手法复位中成功率较高,在复方冬眠灵合剂辅助下复位成功率更高,降低了患儿痛苦及家属的焦虑,提高了小儿嵌顿疝手法复位的成功率,副作用或并发症发生率低,降低了患儿急诊手术的比例。Objective To investigate application effect by compound wintermin mixture in manipulativereduction of pediatric incarcerated hernia. Methods A total of 284 children with inguinal incarcerated herniawere randomly divided into experimental group (144 cases) and control group (140 cases). The experimental groupreceived compound wintermin mixture combined with conventional manipulative reduction for treatment, and thecontrol group received conventional manipulative reduction alone. 19 unsuccessful reduction cases in the controlgroup were further randomly divided into group A (9 cases) and group B (10 cases). Group A received conventionalmanipulative reduction after 1~2 h rest by raising hip due to failed reduction, and group B received conventionalmanipulative reduction after intramuscular injection of compound wintermin mixture and 1~2 h rest by raising hipdue to failed reduction. Effects in all groups were compared. Results The experimental group had high successfulreduction rate as 95.14% than 86.43% of the control group (P<0.05). Group B had higher successful reductionrate as 90.00% than 44.44% of group A (P<0.05). Conclusion Manipulative reduction shows high successrate for pediatric incarcerated hernia, while its combination with compound wintermin mixture provides muchhigher success rate. This method reduce pain in children and anxiety in family members, improve success rate ofmanipulative reduction for pediatric incarcerated hernia, and lower incidences of side effects or complication, anddecrease proportion of children receiving emergency operation.

关 键 词：小儿嵌顿疝 复方冬眠灵合剂 手法复位 

分 类 号：R726.5[医药卫生—儿科]