扩肛治疗在婴幼儿便秘中的临床应用

Clinical application of anal expansion treatment in infant constipation

目的探讨扩肛治疗在婴幼儿便秘中的临床应用。方法随机选取2017年1月~2019年1月我院婴幼儿便秘患儿50例,给予扩肛治疗,然后统计分析50例患儿治疗前后的检查结果及治疗后1、3、6个月的排便情况。结果50例患儿治疗后的钡灌排空延迟、肛管蠕动波紊乱发生率、ARIR阴性率12.0%(6/50)、6.0%(3/50)、0均显著低于治疗前100.0%(50/50)、100.0%(50/50)、12.0%(6/50)(P<0.05)。治疗后1、3、6个月的排便1~2次比例0、22.0%(11/50)、70.0%(35/50)逐渐升高(P<0.05),≥5次比例66.0%(33/50)、16.0%(8/50)、0逐渐降低(P<0.05),治疗后3个月的排便3~4次比例60.0%(30/50)显著高于治疗后1、6个月32.0%(16/50)、30.0%(15/50)(P<0.05),但治疗后1、6个月的排便3~4次比例之间差异不显著(P>0.05)。结论扩肛治疗在婴幼儿便秘中的临床应用效果好。

Objective To explore the clinical application of anal expansion treatment in infant constipation.Methods A total of 50 children with constipation in infants and young children from January 2017 to January 2019 were randomly selected.All children were treated with anal expansion treatment.Then,the results of examination before and after treatment,the defecation after 1,3,and 6 months after treatment in 50 children were analyzed statistically.Results After treatment,the barium empty irrigation and drainage delay,anal canal peristalsis disorder,and the negative rate of ARIR were 12.0%(6/50),6.0%(3/50),and 0,which were significantly lower than those before treatment[100.0%(50/50),100.0%(50/50)and 12.0%(6/50)](P<0.05).The proportion of defecation 1 to 2 times at 1,3,and 6 months after treatment was 0,22.0%(11/50),70.0%(35/50)with gradually increasing trend(P<0.05),and the proportion of defecation≥5 times at 1,3,and 6 months after treatment was 66.0%(33/50),16.0%(8/50)and 0 with gradually decreasing trend(P<0.05),and the proportion of 3 to 4 times of defecation 3 months after treatment was 60.0%(30/50),significantly higher than 32.0%(16/50)and 30.0%(15/50)at 1 and 6 months after treatment(P<0.05),but the difference in the ratio of 3 to 4 times of defecation between 1 and 6 months after treatment was not significant(P>0.05).Conclusion The clinical application of anal expansion treatment in infant constipation has good effect.