解痉药在小儿肠套叠空气灌肠复位中的临床应用价值研究  

Clinical Application Value of Antispasmodics in Treatment of Children with Intussusception Air Enema

作　　者：冯全得 张飞[1] 侯栋亮 张现伟 Feng Quande;Zhang Fei;Hou Dongliang;Zhang Xianwei(The Second Ward of General Surgery,Children’s Hospital Affiliated to Zhengzhou University,Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院普通外科二病区,郑州450018

出　　处：《河南外科学杂志》2023年第1期17-18,共2页Henan Journal of Surgery

基　　金：河南省科技厅科技攻关项目(222102310270)。

摘　　要：目的 探讨解痉药在小儿肠套叠X线监视下空气灌肠(空气灌肠)复位中的临床应用价值。方法 回顾性分析2021-03—2022-03在郑州大学附属儿童医院行空气灌肠治疗的426例肠套叠患儿的临床资料,依据是否应用解痉药分为解痉组(221例)和非解痉组(205例)。比较2组患儿的基线资料,统计空气灌肠复位压力、复位成功率和短期复发率。结果 2组患儿的基线资料、空气灌肠复位压力、复位成功率、短期复发率的差异均无统计学意义(P>0.05)。结论 小儿肠套叠空气灌肠前使用解痉药并不能降低复位压力、提高复位成功率,亦不能降低短期复发率。Objective To study the clinical application value of antispasmodics in the treatment of children with intussusception air enema. Methods The clinical diagnosis and treatment data of 426 children with intussusception air enema who were treated in Children’s Hospital Affiliateol of Zhengzhou Univesity from March 2021 to March 2022 were retrospectively analyzed. The air enema reduction pressure, reduction success rate and short-term recurrence rate were compared between the antispasmodic group(spasmolytic group) and the non-spasmodic group(control group). Results There was no significant difference in baseline data, air enema reduction pressure, reduction rate of success, and short-term recurrence rate between 2 groups(P>0.05). Conclusion The use of antispasmodics before intussusception air enema in children cannot reduce the reduction pressure, cannot improve the reduction success rate, and cannot reduce the short-term recurrence rate.

关 键 词：肠套叠 空气灌肠 解痉药 复位成功率 短期复发率 

分 类 号：R656[医药卫生—外科学]