超声引导下生理盐水灌肠和X线透视空气灌肠在小儿肠套叠复位中的比较OA

Objective To compare the effects of ultrasound-guided saline and X-ray fluoroscopy air ene-ma in the reduction of children's intussusception.Methods A total of 90 children with intussusception admit-ted to the pediatric ward of the Children's Hospital Affiliated to Zhengzhou University from January 2021 to March 2023 were selected and divided into the observation group and the control group with 45 cases in each group by random number table method.The control group was treated with X-ray fluoroscopic air enema,and the observation group was treated with ultrasound-guided saline enema reduction.The success rate of reduc-tion,reduction time,changes of gastrointestinal hormone levels before and after treatment,and recurrence rate of the children were compared between the two groups.Results The success rate of reduction in the observa-tion group was 97.78％(44/45),which was higher than that in the control group(84.44％),but the difference was not statistically significant(P＞0.05).The proportion of reduction time within 30 min in the observation group was 70.45％(31/44),which was higher than that in the control group(13.16％,5/38),and the differ-ence was statistically significant(P＜0.05).The levels of gastrin and motilin in both groups on the 1st and 3rd day of treatment were lower than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(P＜0.05).The short-term recurrence rate of children in the observation group was 0,which was lower than 13.16％(5/38)of the control group,and the difference was statistically significant(P＜0.05).Conclusion Compared with the application of X-ray fluoros-copy air enema for the reduction of intussusception in children,ultrasound-guided saline enema has a higher success rate and shorter reduction time,which can effectively improve gastrointestinal hormone levels and lower short-term recurrence rate after reduction.