空气灌肠整复术治疗小儿肠套叠的应用及有效性评价

Application and Effectiveness Evaluation of Air Enema Reduction in the Treatment of Intussusception in Children

为探讨空气灌肠整复术治疗小儿肠套叠的临床效果及治疗有效性,选择2021年1月至2022年1月收治的86例小儿肠套叠患儿作为研究对象,经随机分组,对照组采用水压灌肠复位治疗,研究组采用空气灌肠整复术治疗,对两组患儿复位成功率、复位时间、住院及便血恢复时间,以及治疗前后白细胞介素6和肿瘤坏死因子α水平进行比较.结果表明:研究组和对照组的复位成功率差异不具统计学意义(P>0.05);在复位时间、住院时间和便血恢复时间上,研究组显著低于对照组(P<0.05);治疗前两组患儿白细胞介素6和肿瘤坏死因子α水平差异无统计学意义(P>0.05),治疗后研究组白细胞介素6和肿瘤坏死因子α水平显著低于对照组(P<0.05);研究组患儿并发症发生率为4.65%,显著低于对照组的20.93%(P<0.05).

This paper is to discuss the clinical effect and therapeutic effectiveness of air enema reduction in the treatment of intussusception in children.86 children with intussusception admitted to our hospital from January 2021 to January 2022 were randomly divided into control group and study group,with 43 cases in each group.The control group was treated by hydraulic enema,and the study group was treated by air enema.The success rate of reduction,reduction time,hospitalization and recovery time of blood in stool,interleukin-6 and tumor necrosis factor-αbefore and after treatment were compared between the two groups.There was no significant difference in the reduction success rate between the study group and the control group(P>0.05).The reduction time,hospitalization time and recovery time of stool blood in the study group were significantly lower than those in the control group(P<0.05).Before treatment,the interleukin-6 and tumor necrosis factor-α(hereinafter,TNF)before treatment in the two groups-αwere not significantly different(P>0.05).After treatment,the level of interleukin-6 and TNF-αin the study group were significantly lower than that of the control group(P<0.05).The incidence of complications in the study group was 4.65%,significantly lower than 20.93%in the control group(P<0.05).