超声引导下水压灌肠复位在小儿肠套叠的应用疗效分析  

Analysis of the therapeutic effect of ultrasonic-guided hydraulic enema reduction in children with intussusception

作　　者：何昌景 吕昌恒[1] 余云飞[1] 李玉莲 黄莲吉 廖元瑜 杨婵 黄大觉 HE Changjing;LYU Changheng;YU Yunfei;LI Yulian;HUANG Lianji;LIAO Yuanyu;YANG Chan;HUANG Dajue(Department of Pediatrics,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]右江民族医学院附属医院小儿外科,广西百色533000

出　　处：《右江医学》2024年第3期234-237,共4页Chinese Youjiang Medical Journal

基　　金：百色市科学研究与技术开发计划课题(百科20221407)。

摘　　要：目的比较分析超声引导下水压灌肠复位和X线引导下空气灌肠复位治疗肠套叠的疗效。方法收集2022年6月至2023年6月住院并接受灌肠复位治疗的72例肠套叠患儿的临床资料。将在超声引导下进行水压灌肠复位的患儿作为观察组(n=36),将在X线引导下进行空气灌肠复位的患儿作为对照组(n=36)。比较两组观察对象的灌肠复位所需时间、住院总天数、复位成功率、住院期间早期复发率和不良反应发生率。结果复位后,观察组复位成功率为97.22%,对照组为77.78%,两组比较差异有统计学意义(P<0.05);观察组住院时间、复位时间及胃肠功能恢复时间短于对照组(P<0.001),两组住院期间复发率比较差异无统计学意义(P>0.05);观察组不良反应及相关并发症总发生率为13.89%,对照组为36.11%,两组比较差异有统计学意义(P<0.05)。结论相比于X线引导下空气灌肠复位,超声引导下生理盐水灌肠复位能够缩短复位时间、住院天数及胃肠功能恢复时间,减轻不良反应,改善胃肠功能,降低并发症发生率,临床疗效更满意,值得进一步推广与应用。Objective To compare and analyze the therapeutic effect of ultrasound-guided hydraulic enema reduction and X-ray guided air enema reduction in the treatment of intussusception.Methods The clinical data of 72 children with intussusception who were hospitalized in hospital from June 2022 to June 2023 and underwent enema reduction treatment were collected.Children with ultrasound-guided hydraulic enema reduction were selected as observation group(n=36),and those with X-ray guided air enema reduction were selected as control group(n=36).And then,the time required for enema reduction,total days of hospitalization,reduction success rate,early recurrence rate during hospitalization,and the incidence of adverse reactions were compared between the two groups.Results After reduction,the success rate of reduction was 97.22%in the observation group and 77.78%in the control group,and difference between the two groups was statistically significant(P<0.05);the hospitalization time,reduction time,and gastrointestinal function recovery time of the observation group were shorter than those of the control group(P<0.001),and there was no statistically significant difference in the recurrence rate between the two groups during hospitalization(P>0.05);the total incidence of adverse reactions and related complications in the observation group was 13.89%,and that in the control group was 36.11%,and the difference between the two groups was statistically significant(P<0.05).Conclusion Compared with X-ray guided air enema reduction,ultrasound-guided saline enema reduction can shorten reduction time,hospitalization days and gastrointestinal function recovery time,alleviate adverse reactions,improve gastrointestinal functions and reduce the incidence of complications,and the clinical efficacy is more satisfactory,which is worthy of further promotion and application.

关 键 词：小儿肠套叠 水压灌肠 空气灌肠 

分 类 号：R720.5[医药卫生—儿科]