中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2008年
30期
4-7
,共4页
枯草杆菌、肠球菌二联活菌多维颗粒剂%非营养性吸吮%早产儿
枯草桿菌、腸毬菌二聯活菌多維顆粒劑%非營養性吸吮%早產兒
고초간균、장구균이련활균다유과립제%비영양성흡전%조산인
Live combined bacillus subtilis and enterococcus faecium granules with multivit amines%Nannutritive suck%Premature infant
目的 探讨枯草杆菌、肠球菌二联活菌多维颗粒剂(妈咪爱)联合非营养性吸吮对早产儿的影响.方法 无窒息及消化道畸形早产儿80例,随机分为对照组(无妈咪爱联合非营养性吸吮)40例,观察组(妈咪爱联合非营养性吸吮)40例.观察胃肠功能紊乱、生长发育指标等.结果 观察组呕吐、腹胀、胃潴留、消化道出血、胎粪性腹膜炎、坏死性小肠结肠炎(NEC)发生率均低于对照组.观察组胎粪排净时间[(3.20±1.01)d]短于对照组[(6.23±2.56)d],胃管拔除时间[(4.03±2.11)d]短于对照组[(7.10±2.91)d],黄疸消退时间[(11.10±5.36)d]短于对照组[(14.30±6.82)d],住院时间[(15.02±3.12)d]短于对照组[(20.00±5.11)d],差异均有统计学意义.第7、14天头围及体重的增长大于对照组,差异有统计学意义.观察组颅内出血发生率为12.5%(5/40)、呼吸暂停发生率为10.O%(4/40)、病死率为0(0/40),对照组分别为45.0%(18/40)、37.5%(15^40)、5.O%(2/40),两组比较差异均有统计学意义.结论 妈咪爱联合非营养性吸吮可促进胃肠功能的成熟,减少并发症的发生,促进生长发育.
目的 探討枯草桿菌、腸毬菌二聯活菌多維顆粒劑(媽咪愛)聯閤非營養性吸吮對早產兒的影響.方法 無窒息及消化道畸形早產兒80例,隨機分為對照組(無媽咪愛聯閤非營養性吸吮)40例,觀察組(媽咪愛聯閤非營養性吸吮)40例.觀察胃腸功能紊亂、生長髮育指標等.結果 觀察組嘔吐、腹脹、胃潴留、消化道齣血、胎糞性腹膜炎、壞死性小腸結腸炎(NEC)髮生率均低于對照組.觀察組胎糞排淨時間[(3.20±1.01)d]短于對照組[(6.23±2.56)d],胃管拔除時間[(4.03±2.11)d]短于對照組[(7.10±2.91)d],黃疸消退時間[(11.10±5.36)d]短于對照組[(14.30±6.82)d],住院時間[(15.02±3.12)d]短于對照組[(20.00±5.11)d],差異均有統計學意義.第7、14天頭圍及體重的增長大于對照組,差異有統計學意義.觀察組顱內齣血髮生率為12.5%(5/40)、呼吸暫停髮生率為10.O%(4/40)、病死率為0(0/40),對照組分彆為45.0%(18/40)、37.5%(15^40)、5.O%(2/40),兩組比較差異均有統計學意義.結論 媽咪愛聯閤非營養性吸吮可促進胃腸功能的成熟,減少併髮癥的髮生,促進生長髮育.
목적 탐토고초간균、장구균이련활균다유과립제(마미애)연합비영양성흡전대조산인적영향.방법 무질식급소화도기형조산인80례,수궤분위대조조(무마미애연합비영양성흡전)40례,관찰조(마미애연합비영양성흡전)40례.관찰위장공능문란、생장발육지표등.결과 관찰조구토、복창、위저류、소화도출혈、태분성복막염、배사성소장결장염(NEC)발생솔균저우대조조.관찰조태분배정시간[(3.20±1.01)d]단우대조조[(6.23±2.56)d],위관발제시간[(4.03±2.11)d]단우대조조[(7.10±2.91)d],황달소퇴시간[(11.10±5.36)d]단우대조조[(14.30±6.82)d],주원시간[(15.02±3.12)d]단우대조조[(20.00±5.11)d],차이균유통계학의의.제7、14천두위급체중적증장대우대조조,차이유통계학의의.관찰조로내출혈발생솔위12.5%(5/40)、호흡잠정발생솔위10.O%(4/40)、병사솔위0(0/40),대조조분별위45.0%(18/40)、37.5%(15^40)、5.O%(2/40),량조비교차이균유통계학의의.결론 마미애연합비영양성흡전가촉진위장공능적성숙,감소병발증적발생,촉진생장발육.
Objective To study the effect of live combined bacillus subtilis and enterococcus faecium granules with multivitamines (Medilac-Vita) and nonnutritive suck on the premature infant.Methods Eighty premature infants without asphyxia and digestive tract malformation were randomly divided into control group(without Medilac-Vita and nonnutritive suck group) and observation group( Medilac-Vita and nonnutritive suck group) including 40 cases each.The gastrointestinal dysfunction and growth-development index were observed in two groups.Results In observation group,the occurrence rate of vomit,abdominal distention,gastric retention,hemorrhage of digestive tract,meconium peritonitis and necrotizing enterocolitis were all lower than that in control group.The cleaning lime of meeoninm in observation group was lower than that in control group [(3.20±1.01 )d and (6.23±2.56)d],the removing time of canalis ventriculi [(4.03±2.11 )d and (7.10±2.91 )d],the time of the jaundice fading away [( 11.10±5.36)d and ( 14.30±6.82)d ],the time of staying in hospital [(15.02±3.12 )d and (20.00 + 5.11)d],the growth of the head circumference and weight in seven and fourteen days were significantly different between two groups.The incidence rates of intracranial hemorrhage,apnea and death in observation group were 12.5% (5/40),10.0% (4/40) and 0 (0/40),which in control group were 45.0%(18/40),37.5% (15/40) and 5.0% (2/40).Conclusion The treatment of Medilac-Vita and nonnutritive suck on the premature infants can promote the maturity of stomach and intestine function,reduce the occurrence of complications,promote growth and development.
