摘要
目的 比较分析超声引导下水压灌肠复位和X线引导下空气灌肠复位治疗肠套叠的疗效.方法 收集2022 年 6 月至 2023 年 6 月住院并接受灌肠复位治疗的 72 例肠套叠患儿的临床资料.将在超声引导下进行水压灌肠复位的患儿作为观察组(n=36),将在X线引导下进行空气灌肠复位的患儿作为对照组(n=36).比较两组观察对象的灌肠复位所需时间、住院总天数、复位成功率、住院期间早期复发率和不良反应发生率.结果 复位后,观察组复位成功率为97.22%,对照组为77.78%,两组比较差异有统计学意义(P<0.05);观察组住院时间、复位时间及胃肠功能恢复时间短于对照组(P<0.001),两组住院期间复发率比较差异无统计学意义(P>0.05);观察组不良反应及相关并发症总发生率为 13.89%,对照组为 36.11%,两组比较差异有统计学意义(P<0.05).结论 相比于X线引导下空气灌肠复位,超声引导下生理盐水灌肠复位能够缩短复位时间、住院天数及胃肠功能恢复时间,减轻不良反应,改善胃肠功能,降低并发症发生率,临床疗效更满意,值得进一步推广与应用.
Abstract
Objective To compare and analyze the therapeutic effect of ultrasound-guided hydraulic enema reduction and X-ray guided air enema reduction in the treatment of intussusception.Methods The clinical data of 72 children with intus-susception who were hospitalized in hospital from June 2022 to June 2023 and underwent enema reduction treatment were col-lected.Children with ultrasound-guided hydraulic enema reduction were selected as observation group(n=36),and those with X-ray guided air enema reduction were selected as control group(n=36).And then,the time required for enema re-duction,total days of hospitalization,reduction success rate,early recurrence rate during hospitalization,and the incidence of adverse reactions were compared between the two groups.Results After reduction,the success rate of reduction was 97.22%in the observation group and 77.78%in the control group,and difference between the two groups was statistically significant(P<0.05);the hospitalization time,reduction time,and gastrointestinal function recovery time of the observation group were shorter than those of the control group(P<0.001),and there was no statistically significant difference in the re-currence rate between the two groups during hospitalization(P>0.05);the total incidence of adverse reactions and related complications in the observation group was 13.89%,and that in the control group was 36.11%,and the difference between the two groups was statistically significant(P<0.05).Conclusion Compared with X-ray guided air enema reduction,ul-trasound-guided saline enema reduction can shorten reduction time,hospitalization days and gastrointestinal function recovery time,alleviate adverse reactions,improve gastrointestinal functions and reduce the incidence of complications,and the clini-cal efficacy is more satisfactory,which is worthy of further promotion and application.
基金项目
百色市科学研究与技术开发计划(百科 20221407)
国家科技期刊平台
NSTL
万方数据