Objective To evaluate the effectivenss of Chinese herbal retention enema in viral hepatitis patients. Methods Such databases as The Cochrane library, PubMed, EMbase, VIP, CNKI, CBM and WanFang Data were searched from the inception to December, 2011 to collect the randomized controlled trials (RCTs) about Chinese herbal retention enema in treating viral hepatitis, and the references of the included literature were also retrieved. Two reviewers independently screened the literature according to the inclusion and exclusion criteria, extracted the data, and evaluated and cross-checked the methodological quality. Then meta-analysis was conducted using RevMan 5.0 software. Results A total of 20 RCTs involving 1 735 patients were included. The subgroup analyses based on the length of intervention time showed that: a) after 2-week intervention: the overall effective rate of the Chinese herbal retention enema group was higher than that of the control group, with a significant difference (OR=3.19, 95%CI 1.87 to 5.44, Plt;0.000 1). Compared with the control group, the Chinese herbal retention enema group better promoted the recovery of liver function by more reduction of AST (MD= ?82.50, 95%CI ?145.66 to ?19.34, P=0.01), ALT (MD= ?44.78, 95%CI 65.90 to ?23.66, Plt;0.000 1) and TBIL (MD= ?37.51, 95%CI ?74.07 to ?0.95, Plt;0.0001). b) After 1-month intervention: The overall effective rate of the Chinese herbal retention enema group was higher than that of the control group, with a significant difference (OR=4.17, 95%CI 2.37 to 7.32, Plt;0.000 01). Compared with the control group, the Chinese herbal retention enema group better promoted the recovery of liver function by more reduction of AST (MD= ?17.86, 95%CI ?29.97 to ?5.76, P=0.004), ALT (MD= ?27.84, 95%CI ?42.45 to ?13.24, P=0.000 2), and TBIL (MD= ?54.15, 95%CI ?116.52 to ?8.23, P=0.09). Conclusion Chinese herbal retention enema can improve the overall effective rate for viral hepatitis patients, alleviate virus damage to liver cell and promote liver function recovery. The commonly used Chinese medicinals for enema are Radix et Rhizoma Rhei, Herba Artemisiae Capillaris, Salvia miltiorrhiza, and Radix Paeoniae Rubra.
【摘要】目的探讨成人肠套叠的临床特点和诊治原则。方法对1980年1月至2004年2月期间我院收治的167例成人肠套叠临床资料进行回顾性分析。结果术前确诊79例，占47.3%。167例中159例行手术治疗，其中116例为肠道肿瘤,良性48例，恶性68例； 余51例为手术或外伤后、肠道炎症、盲肠过长等。共有117例行肿瘤根治性切除术或相应肠段切除术，50例行单纯复位或复位后固定术。2例术后死亡，余均恢复良好，134例随访2个月～10年，无肠套叠复发。结论提高对成人肠套叠的认识是诊断的关键，检查应选用B超、CT、钡灌肠等，治疗则首选手术治疗。
ObjectiveTo improve the efficacy of colon doublecontrast barium enema examination by using digital gastrointestinal machine and modified enema techniques. MethodsSixtyfour patients were examined on digital remote controlled gyration table, with oral coloncleansing preparation and selfmade disposable plastic bag. Results In 64 patients, up to 93.8% were found with none or little fecal materials in the cecum and ascending colon. 80% of the results were scored excellent, and 95% were accurate for making diagnosis. All the patients underwent the examination successfully. ConclusionDigital gastrointestinal machine examination combined with modified hypotonic doublecontrast barium enema is a simple, convenient and efficient way to clearly demonstrate colonic mucosa, and help increase the detection and diagnosis rate.
目的 探讨婴幼儿肠套叠空气灌肠复位的指征、操作方法和中转手术的时机。方法 对我院1993～1998年5年间在X线透视下行空气灌肠复位治疗的婴幼儿肠套叠162例进行回顾性分析。结果 复位成功者148例，成功率为91.4%，其余14例中转手术治疗。随访1～5年，预后良好。结论 空气灌肠复位是婴幼儿肠套叠早期治疗的首选 方法，应谨慎把握其适应证，熟练掌握操作方法，不应轻易放弃而过早手术。但对病程较长，伴有腹膜炎体征或复位失败者，须及时手术治疗。
目的 评价中药灌肠治疗各型便秘的疗效。 方法 计算机检索CBM、VIP、CNKI及Cochrane图书馆临床对照试验数据库等，查找符合纳入标准的随机对照试验，文献检索时间均从建库截至2012年5月。并按Cochrane系统评价手册的文献质量评价办法评价纳入研究的方法学质量，而后提取相关数据用Rev Man 5.1软件进行Meta分析。 结果 最终纳入15篇随机对照试验，共1 137名受试者。结果显示：中药灌肠治疗各型便秘的效果优于口服药、肥皂水灌肠、开塞露等其他治疗，OR值及相应95%CI分别为6.6（2.61，16.69）、5.46（2.57，11.60）、6.54（2.41，17.70）。 结论 中药灌肠治疗便秘有一定疗效且相对安全。由于纳入分析的研究质量差异较大，因此有必要进行大样本、多中心、随机、双盲的对照试验，以进一步证实其临床疗效。
目的 比较电脑遥控灌肠整复仪与简易空气灌肠器对小儿肠套叠的整复效果，探讨更有效安全的空气灌肠设备。 方法 2002年11月－2011年11月对确诊的425例小儿肠套叠应用空气灌肠整复，其中198例采用简易空气灌肠器整复，227例用电脑遥控灌肠整复仪进行空气灌肠整复，并对不同病程时间、套叠部位与两种空气灌肠设备整复结果进行回顾性分析。 结果 198例患儿采用简易空气灌肠器整复成功率为71.2%，227例患儿采用电脑遥控灌肠整复仪的方式整复成功率为83.3%，后者成功率明显高于前者（P＜0.005），尤其是病程时间在24 h内，套叠部位位于升结肠或横结肠的后者整复成功率更高（P＜0.05）。 结论 电脑遥控灌肠整复仪比简易空气灌肠器更有效、安全。脉冲式空气灌肠能减轻套叠部位的痉挛与水肿，提高肠套叠的整复成功率。