68例小儿腹股沟斜疝嵌顿手法复位的治疗体会

Treatment of 68 Cases of Pediatric Incarcerated Inguinal Hernia and Manipulative Reduction

目的:探讨小儿腹股沟斜疝嵌顿手法复位的临床疗效,为小儿腹股沟斜疝嵌顿治疗提供参考。方法:选择福建省福州儿童医院2013年1月-2016年1月收治的68例腹股沟斜疝嵌顿患儿为研究对象,并采用随机数字表发分为试验组和对照组,各34例,试验组采用镇静剂辅助下手法复位,对照组采用单纯手法复位治疗。分析比较两组患者的临床疗效,观察两组患儿手法复位成功率,手法复位时间及并发症发生情况。结果:对照组复位成功30例,成功率为88.2%,试验组复位成功33例,成功率为97.1%,试验组显著高于对照组,差异有统计学意义(P<0.05);试验组平均复位时间为(4.2±2.3)min,显著低于对照组的(7.2±3.6)min,差异有统计学意义(P<0.05);两组复位后均无明显并发症发生。结论:镇静药辅助手法复位治疗小儿腹股沟斜疝嵌顿可提高复位成功率,缩短复位时间,以减轻患儿身体和精神上的痛苦。

Objective： To explore the clinical curative effect of pediatric incarcerated inguinal oblique hemia gimmick reset, and provide a reference for pediatric incarcerated inguinal oblique hernia treatment.Method ： 68 cases of inguinal hernia block were included in this study and ranodmly divided into experiment and contorl group with each 34 eases.The experimental group was given sedatives assisted manipulative reduction, and the control group was treated with simple manipulative reduction.Result： The reset success rate of control group was 88.2%, and the experiment group was 97.1%, the difference was statistically significant（P〈0.05）.The average reset time of experiment group was （4.2 ± 2.3）min and the control group was （7.2 ± 3.6）min, the difference was statistieaUy significant （P〈0.05）.Conclusion： Sedative medicine assisted manipulation reduction for the treatment of children is good for improving the clinical efficacy.