超声监测水压灌肠治疗小儿肠套叠68例效果观察

Effect observation of hydrostatic enema of ultrasonic monitoring treating intussusception in 68 children

目的观察超声监测水压灌肠治疗小儿原发性肠套叠的临床效果。方法选取本院2011年6月~2013年6月收治的136例患儿,将其随机分为实验组和对照组,每组各68例。其中对照组患儿均采用X线下空气灌肠治疗,实验组患儿采用超声监测水压灌肠治疗,观察两组患儿的临床治疗效果。结果实验组66例患儿复位成功,成功率为97.06%,显著高于对照组的77.94%（P〈0.05）;实验组患儿复位所需时间较短,63.64%的患儿复位所需时间〈0.5 h,显著短于对照组（P〈0.05）。结论超声监测水压灌肠是治疗小儿原发性肠套叠的一种非手术方法,具有安全性强和成功率高等优点,可有效替代传统的X线下空气灌肠复位术,以减少对患儿的伤害,在小儿原发性肠套叠的临床治疗中具有积极意义。

Objective To observe the clinical effect of hydrostatic enema of ultrasonic monitoring treating primary intussusception in children. Methods 136 children with primary intussusceptions were randomly divided into the experimental group（n=68） and the control group（n=68）.Patients in the control group were treated with air enema under Xray,the experimental group were treated with hydrostatic enema of ultrasonic monitoring,the clinical therapeutic effect of the two groups was observed. Results 66 cases were reset successfully,the success rate in the experimental group（97.06%） was significantly higher than that in the control group（77.94%）（P0.05）;the reset time required in the experimental group was shorter,the reset time required was 0.5 h in 63.64% of the patients,the reset time in the experimental group was obviously shorter than that in the control group（P0.05）. Conclusion Hydrostatic enema of ultrasonic monitoring is a kind of non operation method in the treatment of primry intussusceptions in children,and it has strong security and high success rate,and can effectively replace the traditional X-ray air pressure enema reduction of children in order to reduce the harm to children.It has positive significance in the clinical treatment of primary intussusceptions in children.