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岭南现代临床外科 ›› 2015, Vol. 15 ›› Issue (06): 693-695.DOI: 10.3969/j.issn.1009-976X.2015.06.013

• 论著与临床研究 • 上一篇    下一篇

间苯三酚对提高小儿肠套叠空气灌肠复位效果的研究

谢志华 陈永洪 庾玉林 彭永辉 聂向阳 李炳根 莫宇轩 龚独辉   

  1. 广东省广州市番禺区何贤纪念医院
  • 通讯作者: 谢志华

Effect of phloroglucinol on air enema for treatment of child intussusception

Xie Zhihua, Chen Yonghong, Yu Yulin, Peng Yonghui, Nie Xiangyang, Li Binggen, Mo Yuxuan, Gong Duhui   

  • Received:2015-05-27 Revised:2015-12-01 Online:2015-12-20 Published:2015-12-20

摘要: 【摘要】 目的 探讨间苯三酚对小儿肠套叠空气灌肠复位的影响效果。方法〓将我院接诊的小儿肠套叠空气灌肠患儿120例作为研究对象,患者分为4组,每组各30例。观察组采取肠套叠空气灌肠+间苯三酚+安定处理(P+V+AE),对照组1采取安定+肠套叠空气灌肠处理(V+AE),对照组2采取山莨菪碱+安定+肠套叠空气灌肠处理(A+V+AE),对照组3单纯实施肠套叠空气灌肠(AE),对比分析4组复位成功率、复发率、不良反应发生率及医疗费用。结果〓处理组在复位成功率、复发率、不良反应发生率及医疗费用上均显著优于其余三组(P<0.05);P+V+AE与V+AE组效果均明显优于AE组(P<0.05),但V+AE与A+V+AE对比无显著性差异(P>0.05)。结论〓间苯三酚应用在小儿肠套叠空气灌肠中可提高复位成功率,降低不良反应,同时减少医疗费用。

关键词: 复位, 小儿肠套叠, 空气灌肠, 间苯三酚

Abstract: 【Abstract】〓Objective〓To investigate the effect of phloroglucinol management on air enema reduction for children?蒺s intussusception. Methods〓120 children with intussusception were enrolled in this study and were divided into four groups of 30 individuals. The observation group was treated by phloroglucinol and valium(P+V+AE) before and after air enema. The No.1 control group was treated by air enema and valium(V+AE). The No.2 control group was treated by anisodamine, air enema and valium(A+V+AE). The No.3 control group was treated by air enema (AE). The reduction success rate,the recurrence rate and the incidence rate of adverse reaction were analysed as well medical cost.Results〓P+V+AE group was significantly superior to the other groups in terms of the reduction success rate, the recent recurrence rate, the incidence rate of adverse reaction and medical costs (P<0.05). The effects in V+AE group and A+V+AE group were better than in AE group, but there was no significant difference between the V+AE and A+V+AE group (P>0.05). Conclusion〓The application of phloroglucinol in children's intussusception increases the reduction success rate, also reduce adverse reaction and medical costs.

Key words: Air enema, Child intussusception, Reduction, Phloroglucinol

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