摘要
目的:初步探讨影响小儿肠套叠空气灌肠复位成功率的主要因素。方法:选取2010年4月至2016年4月期间412例在我院接受空气灌肠复位的肠套叠患儿相关资料进行回顾性分析,按空气灌肠复位成功与否将患者分成两组,先对两组患儿的性别、年龄、发病时间、有无血便、有无脱水、套叠类型、空气灌肠压力等相关影响因素进行单因素分析,再将单因素分析结果进行Logistic回归模型分析找出影响肠套叠空气灌肠复位成功率的主要因素。结果:两组中性别、年龄、有无血便、空气灌肠压力无统计学差别,而发病时间、有无脱水、套头位置因素两组间有显著差异。Logistic回归模型分析结果显示,影响肠肠套叠空气灌肠复位成功率的主要因素包括发病时间、有无脱水、套头位置,其作用太小依次为:发病时间(OR=46.35)>有无脱水(OR=33.45)>套头位置(OR=10.15)。结论:发病时间、有无脱水、套头位置是影响小儿肠套叠空气灌肠复位成功率的主要因素。
Objective:To investigate the correlative factors which affect the reduction success ration of air enema in paediatricintussusception.Methods:The conditions of air enema to 412 cases of paediatric intussusception were reviewed and analyzed during the period from April 2010 to April 2016 in our hospital. The patients were divided into two groups,according to the air enema reduction successful or failure.Related factors of the two groups of children including gender, age, time of onset, hematochezia, dehydration, the type of intussusception,the pressure of air pressure enema were analyzed with univariate analysis. The results of univariate analysis were analyzed by Logistic regression analysis to identify the main factors affecting the success rate of air enema reduction of intussusception.Results:There was no statistically significant difference in gender, age,hematochezia,the pressure of air enema.The time of onset and dehydration or not, the location of intussusception were significantly different between the two groups. The results of Logistic regression analysis showed that the main factors affecting the intestinal intussusception air enema reduction success rate including the time of onset and dehydration or not, the location of intussusception, the effect size was as follows: the time of onset(OR =46.35) >with dehydration or without dehydration(OR > =33.45) > the location of intussusception(OR = 10.15).Conclusion: The time of onset and dehydration or not and the location of intussusception were the main factor affecting t he success rate of air enema reductionof intussusception in children.
出处
《中国妇幼健康研究》
2017年第S1期35-36,共2页
Chinese Journal of Woman and Child Health Research
关键词
肠套叠
空气灌肠
复位成功率
intussusception
air enema
the success rate of air enema reduction
