电脑遥控灌肠整复仪与简易空气灌肠器治疗小儿肠套叠的对比研究

A Comparative Study between Computer-controlled Enema Taxis Instrument and Simple Air Enema Taxis Instrument for Intussusception in Children

目的比较电脑遥控灌肠整复仪与简易空气灌肠器对小儿肠套叠的整复效果,探讨更有效安全的空气灌肠设备。方法 2002年11月-2011年11月对确诊的425例小儿肠套叠应用空气灌肠整复,其中198例采用简易空气灌肠器整复,227例用电脑遥控灌肠整复仪进行空气灌肠整复,并对不同病程时间、套叠部位与两种空气灌肠设备整复结果进行回顾性分析。结果 198例患儿采用简易空气灌肠器整复成功率为71.2%,227例患儿采用电脑遥控灌肠整复仪的方式整复成功率为83.3%,后者成功率明显高于前者(P<0.005),尤其是病程时间在24 h内,套叠部位位于升结肠或横结肠的后者整复成功率更高(P<0.05)。结论电脑遥控灌肠整复仪比简易空气灌肠器更有效、安全。脉冲式空气灌肠能减轻套叠部位的痉挛与水肿,提高肠套叠的整复成功率。

Objective To compare the taxis effect between simple air enema taxis instrument and computer controlled enema taxis instrument for intussusception in children, and explore more effective and safer air enema taxis. Methods Between November 2002 and November 2011, a total of 425 children with confirmed intussusception accepted air enema taxis, including 198 treated with simple air enema taxis instrument, and 227 treated with computer-controlled enema taxis instrument. Different onset time, intussusception position and the efficacy of the two methods of taxis were retrospectively analyzed. Results The success rates of reposition with simple air enema taxis instrument and computer- controlled enema taxis instrument were respectively 71.2% and 83.3%, with a significant difference （P 〈 0.05）. The success rate was higher for patients whose disease course was within 24 hours of the onset, and whose intussusception position was the ascending colon or transverse colon （P ~ 0.05）. Conclusions Computer-controlled enema taxis instrument is safer and more effective than simple air enema taxis instrument. Pulse air enema can relieve intestinal spasm and edema of intussusception and increase the success rate of reposition.