超声监视下温盐水灌肠治疗小儿肠套叠效果及并发症的分析

Analysis about the effects and complications of warm saline enema under ultrasound monitoring in the treatment of intussusception

目的分析超声监视下温盐水灌肠治疗小儿肠套叠效果及并发症。方法选取2015年9月-2020年9月期间在本院就诊的肠套叠患儿180例为研究对象,随机分为试验组和对照组,各90例;试验组患儿行超声监视下温水灌肠,对照组患儿行X射线下空气灌肠;比较两组患儿的复位成功率、复位时间、大便隐血恢复时间、住院时间、穿孔率和复发率。结果(1)发病时间和临床表现在试验组与对照组之间比较差异无统计学意义(P>0.05)。(2)复位时间、大便隐血持续时间和住院时间在试验组与对照组之间比较差异有统计学意义(P<0.05)。(3)穿孔、复位成功和复发在试验组与对照组之间的比较差异有统计学意义(P<0.05)。(4)试验组患儿中呕吐、腹胀和肠淋巴结肿大等术后并发症发生率均低于对照组,两组之间比较差异有统计学意义(P<0.05)。结论超声监视下温水灌肠相对于X线下空气灌肠,具有更高的复位成功率,对肠套叠患儿并发症及预后效果更佳,值得进一步研究及推广。

Objective To analyze the effects and complications of warm saline enema in treatment of intussusception in children under ultrasound monitoring.Methods A total of 180 children with intussusception who were admitted to our hospital from September2015 to September 2020 were randomly divided into the experimental group and the control group,with 90 cases in each group.The experimental group received warm water enema under ultrasonic monitoring,and the control group received air enema under X-ray.The success rate of reduction,reduction time,recovery time of fecal occult blood,hospital stay,perforation rate and recurrence rate of the two groups were compared.Results(1)There were no significant differences in the onset time and clinical manifestations between the experimental group and the control group(P>0.05).(2)The time of reduction,duration of occult blood and hospital stay were statistically significant between the experimental group and the control group(P<0.05).(3)Perforation rate,successful reduction rate and recurrence rate were statistically significantly different between the experimental group and the control group(P<0.05).(4)The incidence of postoperative complications such as vomiting,abdominal distension and intestinal lymphadenopathy in the experimental group were lower than those in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion Compared with air enema under X-ray,the warm water enema under ultrasound monitoring has a higher success rate,lower complication rate,shorter recovery time and shorter hospital stay,which is worthy of clinical promotion.