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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。
Objective To investigate the effect of phloroglucinol on air enema reduction in children with intussusception. Methods A total of 120 children with intussusception of air enema in our hospital were enrolled in this study. The patients were divided into 4 groups with 30 cases in each group. The observation group received intussusception air enema + phloroglucinol + diazepam (P + V + AE), the control group 1 was treated with diazepam + intussusception air enema (V + AE) (A + V + AE). The control group (3) was simply treated with intussusception air enema (AE). The success rate, relapse rate, incidence of adverse reactions and medical expenses of the 4 groups were compared. Results The treatment group was significantly better than the other three groups in success rate, recurrence rate, incidence of adverse reactions and medical expenses (P <0.05), P + V + AE and V + AE groups were significantly better than the AE group P <0.05), but there was no significant difference between V + AE and A + V + AE (P> 0.05). Conclusion The use of phloroglucinol in children with intussusception air enema can improve the success rate of reduction, reduce adverse reactions, while reducing medical costs.