原发性肠套叠临床特征相关性研究  

Correlation of Clinical Features of Primary Intussusception

作　　者：李伟燎[1] 黄振强[1] 唐华建[1] 周小渔 LI Weiliao;HUANG Zhenqiang;TANGHuajian(Foshan Women and Children Hospital,Foshan 528000,China)

机构地区：[1]广东省佛山市妇幼保健院

出　　处：《中国医学创新》2019年第15期27-30,共4页Medical Innovation of China

基　　金：广东省佛山市卫生和计生局医学科研课题(20170115)

摘　　要：目的:探讨原发性肠套叠患儿发病年龄和时长、体重与套叠深度、复位成功率及空气灌肠压力的相关性,以期对疾病的治疗决策及病情评估提供参考依据。方法:回顾性分析2015年5月-2018年10月本院收治的肠套叠患儿425例的临床资料。运用SPSS软件Kendallde(rK)和Spearman(rS)非参数相关系数相关性检验分析发病年龄、时长、体重与套叠深度(分为回盲部及升结肠、结肠肝曲、横结肠和结肠脾曲至肛门)、复位成功率及空气灌肠压力的相关性。结果:年龄与复位成功情况呈正相关(rK=0.243,rS=0.282,P<0.05),与空气灌肠压力、套叠头深度均呈负相关(rK=-0.870、-0.201,rS=-0.114、-0.250,P<0.05);体重与复位成功情况呈正相关(rK=0.222,rS=0.267,P<0.05),与套叠头深度呈负相关(rK=-0.175,rS=-0.226,P<0.05),与空气灌肠压力无关(rK=-0.035,rS=-0.049,P>0.05);发病时长与复位成功情况、套叠头深度均呈负相关(rK=-0.134、-0.090,rS=-0.159、-0.116,P<0.05),与空气灌肠压力无关(rK=-0.005,rS=-0.007,P>0.05);空气灌肠复位压力与复位成功情况呈负相关(rK=-0.286,rS=-0.325,P<0.05),与套叠头深度呈正相关(rK=0.177,rS=0.215,P<0.05),复位成功情况与套叠头深度呈负相关(rK=-0.092,rS=-0.099,P<0.05)。结论:发病年龄小、体重轻及临床表现出现早的原发性肠套叠患儿,套叠深度深、复位成功率低,穿孔等并发症出现风险更大;发病年龄越小,空气灌肠复位压力越大,但体重及发病时长并非空气灌肠复位压力的可靠评估因素;患儿发病年龄、体重及发病时长可能对评估套叠深度、空气灌肠复位压力及复位成功率有一定的作用。Objective:To explore the correlation between age and duration of onset,weight and depth of intussusception,success rate of reduction and pressure of air enema in children with primary intussusception,so as to provide reference for decision-making of treatment and evaluation of disease.Method:The clinical data of425 children with intussusception admitted to our hospital from May 2015 to October 2018 were analyzed retrospectively.SPSS software Kendallde(rK)and Spearman(rS)non-parametric correlation coefficient test was used to analyze the correlation between age,duration,weight and intussusception depth(divided into ileocecal and ascending colon,hepatic flexure of colon,transverse colon and splenic flexure of colon to anus),success rate of reduction and air enema pressure.Result:Age was positively correlated with success of reduction(rK=0.243,rS=0.282,P<0.05),negatively correlated with air enema pressure and depth of intussusception(rK=-0.870,-0.201,rS=-0.114,-0.250,P<0.05).Body weight was positively correlated with the success of reduction(rK=0.222,rS=0.267,P<0.05),negatively correlated with the depth of intussusception(rK=-0.175, rS=-0.226,P<0.05),but not with the air enema pressure(rK=-0.035,rS=-0.049,P>0.05).The duration of onset was negatively correlated with the success of reduction and the depth of intussusception(rK=-0.134,-0.090, rS=-0.159,-0.116,P<0.05),but not with the air enema pressure(rK=-0.005,rS=-0.007,P>0.05).The reduction air enema pressure was negatively correlated with the success of reduction(rK=-0.286,rS=-0.325,P<0.05),positively correlated with the depth of intussusception(rK=0.177,rS=0.215,P<0.05),negatively correlated with the success of reduction(rK=-0.092,rS=-0.099,P<0.05).Conclusion:Children with primary intussusception who are younger in onset,lighter in weight and earlier in clinical manifestation have deeper intussusception depth,lower success rate of reduction and higher risk of complications such as perforation;the younger the age of onset,the greater the reduction air enema pressur

关 键 词：原发性 肠套叠 小儿 临床特征 相关性 

分 类 号：R726.5[医药卫生—儿科]