| 摘要: |
| 摘要 目的 探讨气囊肛管在婴幼儿10%水合氯醛保留灌肠镇静治疗中的效果。 方法 选取2018年1月～2018年10月行MRI检查的婴幼儿100例，按就诊日期单双号随机进行分组，单号为对照组49例，双号为观察组51例，对照组采用一次性肛门管行保留灌肠，观察组采用气囊肛管行保留灌肠，均采用浅插法，注药后观察组、对照组分别保留10分钟同时动态进行Ramsay 镇静评分，30分钟内评分达5分时协助病人完善辅助检查，比较两组镇静效果有无差异。 结果 100例患儿均无药物不良反应。观察组30分钟内评分达5分者有51例，有效率100%，对照组有24例，有效率49%；灌肠后 10分钟内排大便者观察组有0例，对照组有18例；药物溢出者观察组有0例，对照组有30例；有效镇静并一次完成检查者观察组有51例，对照组有24例。上述观察指标均有统计学差异（P＜0.05）。结论 气囊肛管保留灌肠法镇静效果显著，无药物溢出及排便，缩短患儿完成检查等待的时间，家属易于接受，值得临床推广。 |
| 关键词: 婴儿 气囊肛管 保留灌肠 镇静。 |
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| Observation on the clyster with balloon catheter in sedation therapy among infants |
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| Abstract: |
| ［Abstract］Objective to value the effects of retention enema with balloon catheter in sedation therapy of infants using 10% chloral hydrate as sedative. Methods 100 infants who accepted MRI examination from January 2018 to October 2018 were enrolled in the study and were?randomly?divided into?observation group?and?control group according to the?DOV(date?of visit) . 49 Patients admitted on odd-numbered DOV were assigned to control group, 51 Patients admitted on even-numbered DOV were assigned to observation group. Traditional latex anus tubes were used in control group, and the balloon catheters were used in observation group. The dosage was of 0.5ml/kg for all patients. Ramsay sedation score was taken 5 minutes after medication. Patients would be assisted to take MRI examination when score was up to 5 points.
The results?were analyzed?statistically to observe whether there was any difference between the two groups.Results none of the 100 children had adverse drug reactions. In 30 minutes, there were 51 patients in the observation group (effective ratewas 100%) with a score of 5 versus 24 patients in the control group (effective rate was 49%). There were no patient defecation in the observation group Within 10 minutes after the enema, compared with 18 cases in the control group; There was no drug overflow occurred in the observation group, compared 30 cases in the control group, 51 patients in the observation group were effectively sedated and examined at one time, compared with 24 in the control group ，There were statistically differences in the above observation indicators between these two group (p< 0.05). Conclusion The sedative effect of retention enema with balloon catheter in sedation therapy is remarkable. There was no drug overflow and defecation . This method is more acceptable for infants and can shorten the time waiting for MRI examination. So it improves the success rate of examination and is worthy of clinical application.
［Key words］ infant; balloon catheter; retention enema; sedative effect. |
| Key words: infant balloon catheter retention enema sedative effect. |