间苯三酚联合地塞米松在小儿空气灌肠整复肠套叠中的应用

Application of phloroglucinol combined with dexamethasone in the pneumatic reduction of intussusception in children

目的探讨间苯三酚联合地塞米松在小儿肠套叠空气灌肠整复中的应用效果。方法选取我院收治的200例肠套叠患儿,通过前瞻性随机方法分组为:试验组(间苯三酚、地塞米松辅助整复组)100例和对照组(常规整复组)100例。对比两组的整复成功率、整复时间、所用的充气压力、复发率。结果整复前使用间苯三酚联合地塞米松的整复成功率(99%)高于常规整复方法(93%),整复时间2.5(2.00~6.00)min比常规整复方法4(2.00~7.00)min缩短,所用的充气压力(10.16±0.54)Kpa比常规整复方法(10.56±0.83)Kpa降低,复发率(2%)也较常规整复方法(8%)减少,差异有统计学意义(P<0.05)。结论间苯三酚联合地塞米松可提高空气灌肠整复肠套叠的成功率、缩短整复时间、降低整复压力、减少肠套叠的复发率。

Objective To explore the effect of phloroglucinol combined with dexamethasone in the pneumatic reduction of intussusception in children.Methods 200 children with intussusception admitted to our department were divided into experimental group(100 cases of phloroglucinol and dexamethasone assisted reduction group)and control group(100 cases of conventional reduction group)through prospective research and random method.We compared the success rate of reduction,reduction time,inflation pressure,and recurrence rate of the two groups.Results The success rate of phloroglucinol combined with dexamethasone(99%)was higher than that of the conventional method(93%),and the time of 2.5(2.00~6.00)min was longer than that of the conventional method 4(2.00~7.00)min shortened,the inflation pressure was(10.16±0.54)Kpa lower than the conventional reposition method(10.56±0.83)Kpa,the recurrence rate(2%)was also lower than that of the conventional reposition method(8%).The difference was statistically significant(P<0.05).Conclusion Using phloroglucinol combined with dexamethasone in pneumatic reduction enema has been shown to be superior to conventional reduction in the success rate,the reduction time,the pressure of reduction,and reducing the recurrence of aie intussusception.