中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2011年
2期
120-123
,共4页
杨黎%文建军%王亚仑%陈燕%文建国%毛淑平%张国贤
楊黎%文建軍%王亞崙%陳燕%文建國%毛淑平%張國賢
양려%문건군%왕아륜%진연%문건국%모숙평%장국현
婴儿,早产%排尿%膀胱
嬰兒,早產%排尿%膀胱
영인,조산%배뇨%방광
Infant,premature%Urination%Bladder
目的 探讨足月儿与早产儿出生后排尿方式的不同.方法 选取2010年3月至5月人住郑州大学第一附属医院新生儿室的出生后3～7d足月儿12例与早产儿14例作为研究对象,足月儿孕(38.3±1.1)周,体重(3.1±0.4)kg,早产儿孕(32.5±1.6)周,体重(1.7±0.4)kg.观察新生儿在12 h内(上午9点至晚上9点)的自由排尿情况,记录每次排尿量、残余尿量、排尿时的意识状态(清醒/睡眠)、排尿次数及排尿时间等参数,同时记录饮奶量、液体输入量及摄入时间,液体摄人量按标准进行.每次排尿量等于排尿后尿垫重量减去排尿前尿垫重量,残余尿量由超声检测仪测得.共观察记录了220例次.结果 每次排尿量、残余尿量、排尿次数、排尿时意识清醒状态百分比在足月儿分别为(19.8±10.9)ml、(1.55±1.01)ml、(7.2±1.9)次、(43.5±26.8)%,而在早产儿则分别为(11.1±7.5)ml、(1.82±0.88)ml、(9.6±2.5)次、(24.7±19.1)%.二组数据相比,早产儿的每次排尿量及排尿时意识清醒状态百分比小于足月儿,残余尿量及排尿次数大于足月儿,均具有统计学差异(P＜0.05).结论 足月儿与早产儿排尿方式明显不同,提示足月儿膀胱功能的发育优于早产儿,早产儿膀胱功能及其受控制的神经系统发育较足月儿明显延迟.
目的 探討足月兒與早產兒齣生後排尿方式的不同.方法 選取2010年3月至5月人住鄭州大學第一附屬醫院新生兒室的齣生後3～7d足月兒12例與早產兒14例作為研究對象,足月兒孕(38.3±1.1)週,體重(3.1±0.4)kg,早產兒孕(32.5±1.6)週,體重(1.7±0.4)kg.觀察新生兒在12 h內(上午9點至晚上9點)的自由排尿情況,記錄每次排尿量、殘餘尿量、排尿時的意識狀態(清醒/睡眠)、排尿次數及排尿時間等參數,同時記錄飲奶量、液體輸入量及攝入時間,液體攝人量按標準進行.每次排尿量等于排尿後尿墊重量減去排尿前尿墊重量,殘餘尿量由超聲檢測儀測得.共觀察記錄瞭220例次.結果 每次排尿量、殘餘尿量、排尿次數、排尿時意識清醒狀態百分比在足月兒分彆為(19.8±10.9)ml、(1.55±1.01)ml、(7.2±1.9)次、(43.5±26.8)%,而在早產兒則分彆為(11.1±7.5)ml、(1.82±0.88)ml、(9.6±2.5)次、(24.7±19.1)%.二組數據相比,早產兒的每次排尿量及排尿時意識清醒狀態百分比小于足月兒,殘餘尿量及排尿次數大于足月兒,均具有統計學差異(P＜0.05).結論 足月兒與早產兒排尿方式明顯不同,提示足月兒膀胱功能的髮育優于早產兒,早產兒膀胱功能及其受控製的神經繫統髮育較足月兒明顯延遲.
목적 탐토족월인여조산인출생후배뇨방식적불동.방법 선취2010년3월지5월인주정주대학제일부속의원신생인실적출생후3～7d족월인12례여조산인14례작위연구대상,족월인잉(38.3±1.1)주,체중(3.1±0.4)kg,조산인잉(32.5±1.6)주,체중(1.7±0.4)kg.관찰신생인재12 h내(상오9점지만상9점)적자유배뇨정황,기록매차배뇨량、잔여뇨량、배뇨시적의식상태(청성/수면)、배뇨차수급배뇨시간등삼수,동시기록음내량、액체수입량급섭입시간,액체섭인량안표준진행.매차배뇨량등우배뇨후뇨점중량감거배뇨전뇨점중량,잔여뇨량유초성검측의측득.공관찰기록료220례차.결과 매차배뇨량、잔여뇨량、배뇨차수、배뇨시의식청성상태백분비재족월인분별위(19.8±10.9)ml、(1.55±1.01)ml、(7.2±1.9)차、(43.5±26.8)%,이재조산인칙분별위(11.1±7.5)ml、(1.82±0.88)ml、(9.6±2.5)차、(24.7±19.1)%.이조수거상비,조산인적매차배뇨량급배뇨시의식청성상태백분비소우족월인,잔여뇨량급배뇨차수대우족월인,균구유통계학차이(P＜0.05).결론 족월인여조산인배뇨방식명현불동,제시족월인방광공능적발육우우조산인,조산인방광공능급기수공제적신경계통발육교족월인명현연지.
Objective To study the voiding patterns of term and preterm newborns.Methods Between March 2010 and May 2010,26 hospitalized newborns aged 3 to 7 days at this center were recruited in this study.In these patients,12 were term newborns,with an average gestational age of (38.3 ± 1.1 ) weeks,weight of (3.1 ± 0.4) kg,14 were preterm newborns with an average gestational age of (32.5 ± 1.6) weeks,and weight of (1.7 ± 0.4) kg.The voiding volumes (VV),post-void residual volumes (PRV),state of consciousness at voiding,voiding time (VT),voiding frequency (VF)in 12 hours as well as the volume of milk and liquid fed in the same time frame were recorded and analyzed retrospectively.Results In the term newborns,the VV and consciousness voiding rate were significantly higher compared with the preterm newborns [VV and consciousness voiding rate,( 19.8 ±10.9) ml (43.5 ± 26.8%) vs (11.1 ± 7.5) ml (24.7 ± 19.1 %),P＜0.05].However,the PRV and VF were significant lower in term newborns [PRV and VF,(1.55 ± 1.01 ) ml (7.2 ± 1.9) times vs (1.82 ± 0.88) ml (9.6 ± 2.5) times,P＜0.05].Conclusions Incomplete voiding pattern exists in term and preterm newborns.The better urodynamic parameters of the term newborns indicate the term newborns have better mature bladder function than preterm newborns.
