两种灌肠方法治疗小儿肠套叠的疗效观察  

Therapeutic effect of two enema methods in the treatment of infantile intussusception

作　　者：王海水[1] 王艾 韩娜娜 沈小婷 马椿凯 WANG Haishui;WANG Ai;HAN Nana;SHEN Xiaoting;MA Chunkai(Rizhao Traditional Medicine Hospital,Rizhao 276800,China)

机构地区：[1]日照市中医医院,日照276800

出　　处：《济宁医学院学报》2023年第2期101-104,共4页Journal of Jining Medical University

基　　金：济宁医学院教师科研扶持项目(JYFC2019FKJ065)。

摘　　要：目的为探讨彩超引导下水压灌肠和透视下空气灌肠治疗肠套叠的疗效差别。方法选取2019年1月至2021年9月我院外一科收治的220例肠套叠患儿作为研究对象,随机分为超声下水压灌肠组(研究组)和透视下空气灌肠组(对照组),观察比较两组的复位疗效。结果研究组和对照组灌肠整复用时分别为(20.78±4.39)min、(23.53±5.02)min,差异有统计学意义(t=2.608,P=0.011)。住院时长分别为(39.70±11.65)h、(52.35±12.86)h,差异有统计学意义(t=4.610,P<0.001)。复位成功率分别为97.27%、90.00%,差异有统计学意义(χ^(2)=4.882,P=0.027)。灌肠后复发率分别为4.67%、16.16%,差异有统计学意义(χ^(2)=6.370,P=0.012)。两组患儿灌肠后呕吐、发热的发生率比较差异均无统计学意义(χ^(2)=0.220,0.045,P>0.05)。结论彩超引导下水压灌肠治疗小儿肠套叠的复位率高,复发率低,无辐射,操作简便、恢复快,值得临床推广应用。Objective To explore the clinical effect difference between color ultrasound-guided hydraulic enema and X-ray fluoroscopic air enema in the treatment of intussusception.Methods 220 children with intussusception treated in the department of first surgery of Rizhao Traditional Medicine Hospital from January 2019 to September 2021 were selected as the research object.They were randomly divided into ultrasound-guided hydraulic enema group(study group)and X-ray fluoroscopic air enema group(control group);the resetting effects of the two groups were observed and compared.Results The restoration time in study group and control group were(20.78±4.39)min,(23.53±5.02)min respectively;the difference was statistically significant(t=2.608,P=0.011).The length of hospital stay in the two groups were(39.70±11.65)h,(52.35±12.86)h respectively;the difference was statistically significant(t=4.610,P<0.001).The successful rate in restoration of the two groups were 97.27%、90.00%,respectively;the difference was statistically significant(χ^(2)=4.882,P=0.027).The recurrence rate after enema in the two groups respectively were 4.67%、9.09%;the difference was statistically significant(χ^(2)=6.370,P=0.012).The incidence of vomiting and fever after enema in the two groups were compared,and the differences were not statistically significant(χ^(2)=0.220,0.045,P>0.05).Conclusion Color ultrasound-guided hydraulic enema in the treatment of infantile intussusception has advantages of high successful rate of restoration,low recurrence rate,no radiation,simple operation and faster recovery.It is worthy of clinical popularization and application.

关 键 词：小儿肠套叠 彩超引导 水压灌肠 

分 类 号：R473.72[医药卫生—护理学]