B超监视下水压灌肠与X线下空气灌肠治疗小儿肠套叠的效果比较

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摘要目的观察比较X线下空气灌肠与B超监视下水压灌肠治疗小儿肠套叠的临床效果。方法回顾性分析2015年1月~2017年5月安徽省儿童医院收治的635例急性肠套叠患儿的临床资料，按肠套叠整复方法进行分组，实验组为空气灌肠整复（262例），对照组为B超监视下水压灌肠整复（373例）。比较两组患儿治疗效果、复位时间、C反应蛋白（CRP）值，肠功能恢复时间等指标。结果两组患儿复位成功率比较，差异无统计学意义（P > 0.05）；实验组复位时间短于对照组，差异有统计学意义（P < 0.05）；对照组复发率、并发症发生率、CRP值及肠功能恢复时间均优于实验组，差异有统计学意义（P < 0.05）。结论 B超下水压灌肠临床疗效确切，在复发率、并发症发生率、CRP值及肠功能恢复时间上均优于X线下空气灌肠，可作为肠套叠整复首选方法。

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	潘祝彬高群黄河卢贤映

关键词 ：肠套叠, 空气灌肠, 水压灌肠, 超声

Abstract：Objective To discuss the clinical effect of air perfusion under X-ray and hydrostatic reduction under B-ultrasound scanner treating children intussusception. Methods From January 2015 to May 2017, in Anhui Provincial Children Hospital, the clinical data of 635 children with acute intussusceptions were retrospectively analyzed. According to the therapeutic method, they were divided into two groups, experiment group (262 cases) with air perfusion, control group (373 cases) with hydrostatic enemamonitored by B-ultrasound. The treatment effects, restoration time, CRP, cover time of intestinal function and so on of two groups were compared. Results The successful restoration rate of two groups was compared, the differences were not statistically significant (P > 0.05). The restoration time of experiment group was less than control group, the difference was statistically significant (P < 0.05). The recurernce rate, complications, CRP, cover time of restoration function in control group were better than experiment group, the differences were statistically significant (P < 0.05). Conclusion The clinical efficacy is accurate and the advantages are obvious with hydrostatic reduction of intussusception under B-ultrasound, and it can be used as the preferred method for the intussusception.

Key words： Intussusception Air perfusion Hydrostatic reduction Ultrasound

引用本文:

潘祝彬高群黄河卢贤映. B超监视下水压灌肠与X线下空气灌肠治疗小儿肠套叠的效果比较[J]. 中国医药导报, 2018, 15(8): 116-119.
PAN Zhubin GAO Qun HUANG He LU Xianying. Effect comparison between hydrostatic reduction under B-ultrasound and air perfusion under X-ray treating children intussusception. 中国医药导报, 2018, 15(8): 116-119.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2018/V15/I8/116

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