国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
2期
222-225
,共4页
空气灌肠%肠套叠%小儿
空氣灌腸%腸套疊%小兒
공기관장%장투첩%소인
Air enema%Intussusception%Children
目的 观察空气灌肠在小儿肠套叠中的临床应用疗效.方法 回顾性分析296例肠套叠患儿行空气灌肠复位的临床资料.结果 小儿肠套叠行空气灌肠复位成功率为81.8％.病程＜ 24h的患儿复位成功率为84.9％,病程＞24h患儿复位成功率为73.1％(P=0.021).病程＞ 24h的患儿中,肠管扩张和发热的发生率明显高于病程＜24h的患儿(P＜0.05).肠管扩张的患儿成功率为69.0％,无肠管扩张患儿成功率为84.9％(P=0.005).发热患儿的成功率为75.0％,无发热的患儿成功率为82.5％,两组差异无显著性(P=0.331).结论 及早应用空气灌肠治疗小儿肠套叠对其临床结局有重要意义.
目的 觀察空氣灌腸在小兒腸套疊中的臨床應用療效.方法 迴顧性分析296例腸套疊患兒行空氣灌腸複位的臨床資料.結果 小兒腸套疊行空氣灌腸複位成功率為81.8％.病程＜ 24h的患兒複位成功率為84.9％,病程＞24h患兒複位成功率為73.1％(P=0.021).病程＞ 24h的患兒中,腸管擴張和髮熱的髮生率明顯高于病程＜24h的患兒(P＜0.05).腸管擴張的患兒成功率為69.0％,無腸管擴張患兒成功率為84.9％(P=0.005).髮熱患兒的成功率為75.0％,無髮熱的患兒成功率為82.5％,兩組差異無顯著性(P=0.331).結論 及早應用空氣灌腸治療小兒腸套疊對其臨床結跼有重要意義.
목적 관찰공기관장재소인장투첩중적림상응용료효.방법 회고성분석296례장투첩환인행공기관장복위적림상자료.결과 소인장투첩행공기관장복위성공솔위81.8％.병정＜ 24h적환인복위성공솔위84.9％,병정＞24h환인복위성공솔위73.1％(P=0.021).병정＞ 24h적환인중,장관확장화발열적발생솔명현고우병정＜24h적환인(P＜0.05).장관확장적환인성공솔위69.0％,무장관확장환인성공솔위84.9％(P=0.005).발열환인적성공솔위75.0％,무발열적환인성공솔위82.5％,량조차이무현저성(P=0.331).결론 급조응용공기관장치료소인장투첩대기림상결국유중요의의.
Objective To observe the efficacy of air enema in the treatment of intussusception in children.Methods Medical records of 296 children treated for intussusception by air enema reduction were retrospectively reviewed.Results Total success rate of reduction was 81.8％.Patients with symptom duration ＜ 24 hours had higher success rate than those with symptom duration ＞ 24 hours(84.9％ VS 73.1％,P=0.021).Patients with symptom duration ＞ 24 hours had higher incidence of bowl distention and fever than patients with symptom duration ＜ 24 hours(P＜ 0.05).Success rate of intussusception reduction in patients with bowl distention was lower than that in patients without distention(69.0％ VS 84.9％,P=0.005).No significant difference was found in success rate of intussusception reduction in patients with or without fever(75.0％ VS 82.5％,P=0.331).Conclusion Early application of air enema has great influence on the outcome of intussusception reduction.
