空气灌肠在小儿肠套叠中的应用分析

目的 观察空气灌肠在小儿肠套叠中的临床应用疗效.方法 回顾性分析296例肠套叠患儿行空气灌肠复位的临床资料.结果 小儿肠套叠行空气灌肠复位成功率为81.8％.病程＜ 24h的患儿复位成功率为84.9％,病程＞24h患儿复位成功率为73.1％(P=0.021).病程＞ 24h的患儿中,肠管扩张和发热的发生率明显高于病程＜24h的患儿(P＜0.05).肠管扩张的患儿成功率为69.0％,无肠管扩张患儿成功率为84.9％(P=0.005).发热患儿的成功率为75.0％,无发热的患儿成功率为82.5％,两组差异无显著性(P=0.331).结论 及早应用空气灌肠治疗小儿肠套叠对其临床结局有重要意义.

Analysis on application of air enema in intussusception in children

Objective To observe the efficacy of air enema in the treatment of intussusception in children. Methods Medical records of 296 children treated for intussusception by air enema reduction were retrospectively reviewed. Results Total success rate of reduction was 81.8%. Patients with symptom duration 〈 24 hours had higher success rate than those with symptom duration 〉 24 hours （84.9% VS 73.1%, P=0.021）. Patients with symptom duration 〉 24 hours had higher incidence of bowl distention and fever than patients with symptom duration 〈 24 hours （P〈 0.05）. Success rate of intussusception reduction in patients with bowl distention was lower than that in patients without distention （69.0% VS 84.9%, P=0.005）. No significant difference was found in success rate of intussusception reduction in patients with or without fever （75.0% VS 82.5%, P=0.331）.Conclusion Early application of air enema has great influence on the outcome of intussusception reduction.