气囊肛管在儿科保留灌肠中的应用效果  

Application effect of balloon anal catheter in pediatric retention enema

作　　者：冉秦 黄美洲 谢义民 宁金波 田友春 赵红英 RAN Qin;HUANG Mei-zhou;XIE Yi-min(Department of Paediatrics,Three Gorges Hospital Affiliated to Chongqing University,Chongqing 404000,China)

机构地区：[1]重庆大学附属三峡医院儿科,重庆市404000 [2]重庆市万州区第二高级中学,404000

出　　处：《临床合理用药杂志》2020年第30期37-39,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨气囊肛管在儿科保留灌肠中的应用效果。方法选取2018年1—10月在某区三级甲等医院儿科门诊行MRI检查的患儿100例,按照就诊日期单双号分为对照组(n=49)与观察组(n=51)。对照组采用传统肛管给药,观察组采用气囊肛管保留法给药。比较2组应用效果(10 min内排大便率、药物溢出率、有效完成检查率、肛管滑脱率),并观察2组并发症发生情况。结果观察组10 min内排大便率、药物溢出率、肛管滑脱率低于对照组,有效完成检查率高于对照组,差异有统计学意义(P<0.05)。2组肛门直肠黏膜损伤发生率比较,差异无统计学意义(P>0.05)。观察组患儿哭闹不配合发生率低于对照组,差异有统计学意义(P<0.05)。结论气囊肛管在儿科保留灌肠中的应用效果较好,可有效保证药物所需保留量,提高了患儿的依从性,且安全性较高。Objective To explore the application effect of balloon anal catheter in pediatric retention enema.Methods A total of 100 cases of Children with MRI examination were selected from January to October,2018 in Pediatric outpatient department of a Class 3 first class hospital in a district,which were divided into control group(n=49) and observation group(n=51) according to the single and even number of visit date.The control group was given traditional anal administration, and the observation group was given with balloon anal catheter retention method.Application effect(defecation rate within 10 minutes,drug overflow rate,effective completion rate,anal slippage rate) were compared between the two groups,and the incidence of complications were observed.Results The observation group of defecation rate within 10 minutes,drug spillover rate and anal slippage rate were lower than control group,and the effective completion rate was higher than control group(P<0.05).There was no significant difference in the incidence of anorectal mucosal injury between the two groups(P>0.05).The incidence of crying uncooperative in the observation group was lower than control group(P<0.05).Conclusion The application effect of balloon anal catheter in pediatric retention enema is better,which can improve the retention amount of drugs required,improve the compliance of children, and has high safety.

关 键 词：婴幼儿 气囊肛管 保留灌肠 镇静治疗 治疗结果 

分 类 号：R726[医药卫生—儿科]