文章摘要
小儿原发性肠套叠灌肠复位后早期再套叠的影响因素分析
Analysis of factors of early re-intussusception after enema reduction in children with primary intussusception
投稿时间:2021-04-01  
DOI:10.3969/j.issn.1000-0399.2021.09.006
中文关键词: 肠套叠  再套叠  灌肠复位术  影响因素
英文关键词: Intussusception  Re-intussusception  Enema reduction  Influencing factor
基金项目:阜阳市卫生健康委科研课题(项目编号:2019-90)
作者单位
罗春 236000 安徽省阜阳市妇女儿童医院小儿外科 
段泽猛 236000 安徽省阜阳市妇女儿童医院小儿外科 
尚克磊 236000 安徽省阜阳市妇女儿童医院小儿外科 
谭小光 236000 安徽省阜阳市妇女儿童医院小儿外科 
朱乾坤 236000 安徽省阜阳市妇女儿童医院小儿外科 
陈永云 236000 安徽省阜阳市妇女儿童医院小儿外科 
王彬彬 236000 安徽省阜阳市妇女儿童医院小儿外科 
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中文摘要:
      目的 探讨小儿原发性肠套叠早期再套叠发生的影响因素。方法 回顾性分析阜阳市妇女儿童医院2018年1月至2020年12月收治的320例原发性肠套叠复位成功的患儿临床资料,收集记录一般资料(性别、年龄、发病季节、轮状病毒感染情况、禁食时间)、灌肠方式(空气灌肠、温盐水灌肠)及超声特征(是否有肠系膜淋巴结肿大)。根据是否再套叠分为分为有再套组(27例)与无再套组(293例),通过单因素分析筛选出肠套叠灌肠治疗成功后再套叠发生的可能危险因素,采用logistic回归分析患儿发生再套叠的影响因素。结果 单因素分析显示,有再套叠组与无再套叠组在性别、禁食时间方面比较,差异无统计学意义(P>0.05),在年龄、发病季节、轮状病毒感染与否、灌肠方式(空气灌肠、温盐水灌肠)及是否有肠系膜淋巴结肿大方面差异有统计学意义(P<0.05)。logistic多因素回归分析显示,年龄、发病季节、灌肠方式、是否有肠系膜淋巴结肿大、轮状病毒感染均是再套叠发生的影响因素(OR=2.511、1.584、3.352、3.232、4.212)。结论 小儿原发性肠套叠复位后早期再套叠发生的影响因素分别为年龄、发病季节、灌肠方式、是否有肠系膜淋巴结肿大、轮状病毒感染。
英文摘要:
      Objective To explore the influencing factors of early re-intussusception in children with primary intussusception. Methods The clinical data of 320 children with successful reduction of primary intussusception treated in Fuyang Women and Children's Hospital from January 2018 to December 2020 were analyzed retrospectively. The general data (gender, age, onset season, rotavirus infection, fasting time), enema methods (air enema, warm saline enema) and ultrasonic characteristics (whether there was mesenteric lymph into two groups: the group with intussusception (27 cases) and the group without intussusception (293 cases). The risk factors of intussusception after successful intussusception enema treatment were screened out by single factor analysis, and the influencing factors of intussusception were analyzed by logistic regression. Results Univariate analysis showed that there was no significant difference in gender and fasting time between the re-intussusception group and the non-re-intussusception group (P>0.05). There was significant difference in age, onset season, rotavirus infection, enema mode (air enema, warm saline enema) and mesenteric lymph node enlargement (P<0.05). Logistic regression analysis showed that age, onset season, enema method, whether there was mesenteric lymph node enlargement and rotavirus infection were the influencing factors of re-intussusception (OR=2.51, 1.58, 3.35, 3.23 and 4.21). Conclusions The influencing factors of early re-intussusception after reduction of primary intussusception in children are age, onset season, enema method, mesenteric lymph node enlargement and rotavirus infection.
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