小儿肠套叠空气灌肠复位成功率的相关因素分析

Analysis the related factors of success rate of air enema restoration in children with intussusception

目的探讨影响小儿肠套叠空气灌肠复位成功率的相关因素及对策。方法选择2018年1月至2019年10月于我院进行空气灌肠复位治疗的60例肠套叠患儿为研究对象,其中复位成功50例,失败10例,采用多因素logistic回归分析影响小儿肠套叠空气灌肠复位成功的相关因素。结果多因素logistic回归分析显示,发病时间>24 h、脱水、腹胀、原始套头位于脾曲及降结肠以远是影响小儿肠套叠空气灌肠复位成功率的独立危险因素(P<0.05)。结论发病时间、脱水、腹胀、原始套头部位是导致小儿肠套叠空气灌肠复位失败的主要因素,应采取针对性措施以提升复位成功率,降低患儿围术期痛苦。

Objective To explore the related factors affecting the success rate of air enema restoration in children with intussusception and its countermeasure.Methods To select 60 cases of children patients with intussusception who underwent air enema restoration treatment in our hospital from January 2018 to October 2019 as the study object,of which 50 cases were successfully reset and 10 cases were failed.Multi-factor logistic regression analysis was used to determine the relevant factors affecting the success of air enema restoration in children with intussusception.Results Multivariate logistic regression analysis showed that the time of onset>24 h,dehydration,abdominal distension,the original hedging located in the splenic flexure and the descending colon beyond were the independent risk factors that affect the success rate of of air enema restoration in children with intussusception(P<0.05).Conclusion The time of onset,dehydration,abdominal distension,and original hedging position were the main factors leading to the failure of air enema restoration in children with intussusception.The targeted measures should be taken to increase the success rate of restoration and reduce the perioperative pain of children patients.