开塞露在儿童急性腹痛的诊断及治疗中的应用研究

The study on the application of glycerine enema in the diagnosis and treatment of acute abdominal pain in children

目的探讨开塞露在儿童急性腹痛的诊断与治疗中的作用。方法收集2013年5月至2018年5月1280例首诊不能明确外科疾病的急性腹痛患儿,予开塞露治疗,腹痛缓解并随访24h未再腹痛者为有效,反之为无效,无效者行进一步检查。结果所有入组患儿予开塞露塞肛后均排便,腹痛缓解有效率为93.8%,无效率为6.2%;无效组部分患儿有血便及柏油便排出,经进一步检查后,部分患儿确诊为外科疾病。结论开塞露对于儿童急性腹痛疗效显著,亦可协助诊断,值得在临床中推广应用。

Objective To study the clinical effect of glycerine enema in the diagnosis and treatment of acute abdominal pain in children. Methods From May 2013 to May 2018, 1 280 cases of acute abdominal pain children who couldn' t be diagnosed with surgical diseases, were treated with glycerine enema. Relief of abdominal pain and follow-up for 24 hours without recurrent abdominal pain was defined as effectiveness, otherwise as ineffectiveness which performed further examination. Results After treated with glycerine enema, all the children were defecated. The effective rate of abdominal pain relief was 93.8% and the ineffective rate was 6.2%. Some of the children in the ineffective group had blood stool and tar stool. After further examination, some cases were diagnosed as surgical diseases. Conclusion Glycerine enema has favorable clinical effect in the treatment of acute abdominal pain in children, as well as assists in diagnosis, which is worth popularizing clinical work.