摘要
目的 分析诊断性空气灌肠压力治疗小儿短期复发性肠套叠的有效性及安全性.方法 2015年12月至2019年12月45例首次经空气灌肠整复成功后,短期(≤72 h)内发生复套的肠套叠患儿,复发后无明显禁忌证再次予空气灌肠,分别选择常规压力和诊断性灌肠压力整复,回顾其临床表现及整复过程,对比其整复时间及效果.结果 45例患儿首次经空气整复成功后,总共复发76次,最多1例3 d内复发7次.其中男33例,女12例,男女比例为2.75:1;年龄6个月~7(2.72±1.35)岁.首次或前次空气灌肠整复成功后,复发时间间隔1~72 h,48 h内占66.7%.首次成功整复45次,选择常规压力8.1~13.3(10.9±1.4)kPa;重复空气整复76次,成功75次,其中44次选择常规压力8.1~13.3(10.2±1.5)kPa,含失败1次;32次选择诊断性灌肠压力6.0~8.0(6.8±0.7)kPa.两者整复成功率、平均灌肠时间比较差异无统计学意义(P>0.05).结论 对于小儿肠套叠空气整复成功后短期内复套者,且未出现明显禁忌证,空气灌肠仍是首选治疗方法,应用较低的诊断性灌肠压力即可获得较高的整复成功率,并保证整复过程的安全性.
Objective To analyze the efficacy and safety of using the pressure of diagnostic air enema in the treatment of short-term recurrent intussusception in children.Methods The medical records of 45 children with short-term recurrent intussusception(72 h)who underwent a successful air reduction between December 2015 and December 2019 were reviewed.When recurrence and without obvious contraindications,air enema was given again,and routine pressure and lower diagnostic pressure were used.Review its clinical manifestations and restoration process,and compare its restoration time and effect.Results 45 children had a total of 76 recurrences after the first successful air reduction,with a maximum of 1 case had 7 recurrences in 3 days.Among them,33 were males and 12 were females,and the ratio of males to females was 2.75:1,the age ranged from 6 months to 7 years,with an average age of 2.72±1.35years.After the first or previous successful air enema,the recurrence interval was 1 h to 72 h,accounting for 66.7%within 48 h.The first successHil reduction pressure was 8.1~13.3 kPa(average 10.9±1.4 kPa).And air reduction was repeated 76 times,75 times were successfi.11,44 of which selected conventional pressure(8.1~13.3 kPa,average 10.2±1.5 kPa),including 1 failure,32 times selected diagnostic enema pressure(6.0~8.0 kPa,average 6.8±0.7 kPa).There was no significant difference between the two on the successful rate of restoration(P>0.05),there was no significant diflerence between the two in the average enema time(P>0.05).Conclusion For children with short-term recurrent intussusception after a successful air reduction,air enema is still the preferred treatment method when without obvious contraindications.Lower diagnostic enema pressure can obtain a high successful rate of reduction and ensure the safety of the process.
出处
《浙江临床医学》
2022年第5期695-696,共2页
Zhejiang Clinical Medical Journal
关键词
肠套叠
压力
空气灌肠
复发
Intussusception
Pressure
Air enema
Recurrence
