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低压脉冲空气灌肠术整复小儿肠套叠的应用研究 被引量:7

Value of low pressure pulse air enema to treat pediatric intussusceptions
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摘要 目的探讨低压脉冲空气灌肠术对不同年龄采用不同注气压力治疗小儿肠套叠的效果。方法应用JS-818电脑遥控灌肠整复仪在空气灌肠诊断和治疗过程中设立研究组(A、B组),A组年龄≤6个月26例;B组年龄≥7个月51例;对照组(C组)年龄≥8个月26例。比较分析不同年龄、不同压力与方式整复小儿肠套叠的操作过程,观察不良反应、治疗效果及相关因素。结果研究组整复成功率为96.10%(74/77);对照组整复成功率为80.77%(21/26),成功率组间比较差异无统计学意义(P>0.05)。全部病例无肠穿孔,无死亡。结论低压脉冲空气灌肠术以及不同年龄、不同注气压力治疗小儿肠套叠取得较好的复位效果,其适应证宽,不良反应少,无并发症,更安全、可靠。 Objective To investigate the clinical value of low pressure pulse air enema to treat pediatric intussusception with different pressure in different age, and to improve the safety and success ratio in intussusception reduction. Methods 103 eases with pediatric intussuscepfions were treated by compute remote control device enema (JS-818) and divided into the control group and the observation group, and the observation group were further divided into A group and B group. The A group had 26 cases with the age below 6 months and the B group had 51 eases with the age more than 7 months, while the control group had 26 cases with the age above 8 months. And the data in different groups were analyzed to observe untoward effect, treatment effect and correlative factors. Results 74 cases succeed, 3 cases failed, with the reduction rate of 96.10% in the observation group, while 21 eases succeed and 5 cases failed, with the reduction rate of 80.76% in the control group. There is no statistically significant difference of the reduction rate in different groups, but the discrepancy had statistically significant difference (P〈0.05) in untoward effect. There is no intestinal perforation and death in the operation. Conclusion Low pressure pulse air enema had significant reduction effectiveness on pediatric intussuscepfions in different groups, with the safety.
出处 《海南医学》 CAS 2011年第17期6-9,共4页 Hainan Medical Journal
基金 广西防城港市科学研究与技术开发科研项目(编号:防科攻100305)
关键词 小儿肠套叠 低压脉冲空气灌肠术 整复 Pediatric Intussusceptions Low pressure pulse air enema Reduction
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