小儿肠套叠B超引导下温生理盐水灌肠复位的临床研究  

Study on clinical effect of warm normal saline enema reduction under the guidance of B-ultrasound in children with intussusception

作　　者：陈志权[1] 邓建国[1] 巫巧丹 罗木生 巫秋花 CHEN Zhi-quan;DENG Jian-guo;WU Qiao-dan(Yingde People’s Hospital,Yingde 513000,China)

机构地区：[1]广东省英德市人民医院,513000

出　　处：《中国现代药物应用》2021年第9期34-37,共4页Chinese Journal of Modern Drug Application

基　　金：清远市科技计划项目医疗卫生领域(项目编号:170804111900748)。

摘　　要：目的观察小儿肠套叠在B超引导下行温生理盐水灌肠复位的临床效果。方法80例小儿肠套叠患儿,按照随机数字表法分为观察组与对照组,各40例。对照组患儿采用X光透视下空气灌肠复位,观察组患儿采用B超引导下温生理盐水灌肠复位。对比两组患儿复位成功率,复位时间、肛门排气时间、住院时间,治疗前后体温、C反应蛋白(CRP),并发症发生情况。结果观察组患儿复位成功率为95.0%,高于对照组的77.5%,差异有统计学意义(P<0.05)。观察组患儿肛门排气时间(18.28±2.16)h、住院时间(3.39±0.43)d均短于对照组的(23.29±2.21)h、(4.48±1.23)d,差异有统计学意义(P<0.05);两组复位时间对比差异无统计学意义(P>0.05)。治疗后,两组患儿CRP水平均较治疗前升高,但观察组低于对照组,差异有统计学意义(P<0.05)。两组治疗后体温对比差异无统计学意义(P>0.05)。观察组并发症发生率为2.5%(1/40),低于对照组的20.0%(8/40),差异有统计学意义(P<0.05)。结论B超引导下温生理盐水灌肠复位治疗小儿肠套叠具有无创性,能够减轻炎性反应,减少并发症的发生,复位成功率高,该项目全程不用接受X光照射,更好地保护了患儿和医护人员,更容易被患儿家属和医护人员接受,更加有利于项目的推广。Objective To observe the clinical effect of warm normal saline enema reduction under the guidance of B-ultrasound in children with intussusception.Methods A total of 80 children with intussusception were divided into observation group and control group according to random numerical table,with 40 cases in each group.The control group was treated with air enema under X-ray fluoroscopy,and the observation group was treated with warm normal saline enema reduction under the guidance of B-ultrasound.The reduction success rate,reduction time,anal exhaust time,hospitalization time,body temperature before and after treatment,C-reactive protein(CRP)and occurrence of complications were compared between the two groups.Results The reduction success rate 95.0%of the observation group was higher than 77.5%of the control group,and the difference was statistically significant(P<0.05).The anal exhaust time(18.28±2.16)h and hospitalization time(3.39±0.43)d of the observation group were shorter than(23.29±2.21)h and(4.48±1.23)d of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in reduction time between the two groups(P>0.05).After treatment,the CRP of the two groups were higher than those before treatment,but the observation group was lower than the control group.All the difference was statistically significant(P<0.05).After treatment,there was o statistically significant difference in body temperature between the two groups(P>0.05).The incidence of complications of the observation group was 2.5%(1/40),which was lower than 20.0%(8/40)of the control group,and the difference was statistically significant(P<0.05).Conclusion It is noninvasive to treat children with intussusception with warm normal saline enema under the guidance of B-ultrasound,which can reduce inflammatory reaction and occurrence of complications,and the success rate of reduction is high.The project does not need X-ray irradiation in the whole process,so it can better protect children and

关 键 词：小儿肠套叠 B超引导 温生理盐水 灌肠复位 并发症 C反应蛋白 

分 类 号：R725.7[医药卫生—儿科]