自制简易灌肠包在小儿急性肠套叠B超监视下生理盐水灌肠复位的临床应用分析  

Clinical Application Analisis of Self-made Simple Enema Pack in Normal Saline Enema Reset Under B-ultrasound Monitoring of Acute Intussuscep⁃tion in Children

作　　者：孔德建 黄理哲 罗树友[2] 杨诗 牙韩威 苏桂田 伍世棵 李时顺 KONG Dejian;HUANG Lizhe;LUO Shuyou;YANG Shi;YA Hanwei;SU Guitian;WU Shike;LI Shishun(Department of Gastrointestinal and Anal Surgery,Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning,Guangxi Zhuang Autonomous Region,530000 China;Department of Pediatric Gen-eral Surgery,Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi Zhuang Autonomous Region,530000 China)

机构地区：[1]广西中医药大学附属瑞康医院胃肠肛门外科,广西南宁530000 [2]广西壮族自治区妇幼保健院小儿普外科,广西南宁530000

出　　处：《系统医学》2022年第11期1-4,共4页Systems Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190370)。

摘　　要：目的探讨小儿急性肠套叠应用自制的简易灌肠包在B超监视下用生理盐水灌肠复位的应用价值。方法选取2018年1月—2020年12月广西中医药大学附属瑞康医院收治的60例急性肠套叠患儿分成观察组(自制简易灌肠包B超直视下生理盐水灌肠复位,20例)、对照Ⅰ组(一次性灌肠包B超直视下生理盐水灌肠复位,20例)、对照Ⅱ组(气压灌肠机X线透视下气压灌肠复位),各组采取相应复位方式,对各组肠套叠复位情况及预后情况观察对比。结果观察组、对照Ⅰ组、对照Ⅱ组的复位成功率分别为95.00%、90.00%、90.00%,观察组成功率与对照Ⅰ组、对照Ⅱ组比较,对照Ⅰ组、对照Ⅱ组的成功率比较,差异无统计学意义(P>0.05);3组患者的复位所需时间两两对比,差异无统计学意义(P>0.05);观察组住院时间明显短于对照Ⅰ组、对照Ⅱ组,差异有统计学意义(P<0.05),而对照Ⅰ组、对照Ⅱ组住院时间指标差异无统计学意义(P>0.05);观察组医疗费用与对照Ⅰ组、对照Ⅱ组比较,差异有统计学意义(P<0.05);观察组、对照Ⅰ组、对照Ⅱ组的并发肠穿孔率分别为5.00%、10.00%、10.00%,复发率分别为10.00%、5.00%、15.00%,3组并发肠穿孔率与复发率两两对比,差异无统计学意义(P>0.05)。结论对小儿急性肠套叠的患儿使用自制简易灌肠包经B超监视下生理盐水灌肠复位的效果良好,医疗费用低。Objective To explore the application value of normal saline enema reduction under B-ultrasound moni⁃toring for children with acute intussusception.Methods From January 2018 to December 2020,selection 60 children with acute intussusception in Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine were divided into observation group(self-made simple enema bag B with normal saline enema reset under direct vi⁃sion,20 cases),control groupⅠ(disposable enema bag B Normal saline enema reduction under super direct vision,20 cases),control groupⅡ(pressure enema reduction under X-ray fluoroscopy of air pressure enema machine),each group adopted corresponding reduction methods,and the intussusception reduction and prognosis of each group were observed and compared.Results The reduction success rates of the observation group,the control group I and the control groupⅡwere 95.00%,90.00%and 90.00%,respectively.There was no statistically significant difference be⁃tween the observation group and the control group I and the control groupⅡ,and also without between the control group I and the control groupⅡ(P>0.05).There was no statistically significant difference in the time required for re⁃duction among the three groups of patients(P>0.05).The hospitalization time of the observation group was signifi⁃cantly shorter than that of the control group I and the control groupⅡ,and the difference was statistically significant(P<0.05),while there was no statistically significant difference in the hospitalization time between the control group I and the control groupⅡ(P>0.05).T there was a statistically significant difference in medical expenses between ob⁃servation group,control group 1,and control groupⅡ(P<0.05).The rates of intestinal perforation in the observation group,control group I,and control groupⅡwere 5.00%,10.00%,and 10.00%,respectively,and the rates of resec⁃tion were 10.00%,5.00%,and 15.00%,respectively.There was no statistically significant difference in the set rate b

关 键 词：自制简易灌肠包 小儿急性肠套叠 B超监视 生理盐水灌肠 

分 类 号：R246.4[医药卫生—针灸推拿学]