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Lingnan Modern Clinics in Surgery ›› 2015, Vol. 15 ›› Issue (06): 693-695.DOI: 10.3969/j.issn.1009-976X.2015.06.013

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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   

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

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

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

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