CAJ | 학술논문

目的探讨胎粪排出延迟对早产儿的影响,寻求治疗早产儿胎粪排出延迟的新方法.方法将23例胎粪排出延迟早产儿随机分为两组,治疗组在高频超声引导下导入6F硅胶胃管导出胎粪；对照组每2天灌肠1次,或出现呕吐、腹胀者灌肠,比较两组患儿及无胎粪排出延迟早产儿血清胆红素,呕吐、腹胀的发生率,体质量开始恢复时间.结果治疗组血清胆红素、体质量恢复时间、呕吐、腹胀与无胎粪排出延迟早产儿差异均无统计学意义(均P＞0.05),而对照组与无胎粪排泄延迟组及治疗组差异均有统计学意义(均P＜0.01).结论高频超声引导治疗早产儿胎粪排出延迟可以减少早产儿并发症,促进患儿体质量恢复增长.
목적 탐토태분배출연지대조산인적영향,심구치료조산인태분배출연지적신방법.방법 장23례태분배출연지조산인수궤분위량조,치료조재고빈초성인도하도입6F규효위관도출태분；대조조매2천관장1차,혹출현구토、복창자관장,비교량조환인급무태분배출연지조산인혈청담홍소,구토、복창적발생솔,체질량개시회복시간.결과 치료조혈청담홍소、체질량회복시간、구토、복창여무태분배출연지조산인차이균무통계학의의(균P＞0.05),이대조조여무태분배설연지조급치료조차이균유통계학의의(균P＜0.01).결론 고빈초성인도치료조산인태분배출연지가이감소조산인병발증,촉진환인체질량회복증장.
Objective To explore the infulence and to look for an optimal management of delayed meconium exclusion to the premature infant,in order to offer the dependence of diminished neonatal complications.Methods 23 premature infants with delayed meconium were randomly assigned into treatment group and control group.12 premature infants with normal meconium were selected as a normal group.Using the 6F silicone rubber stomach tube help the premature infants exclusing meconium by high-frequency ultrasound in treatment group.2-3ml glycerin mixed with 10-20ml warmed normal saline was given every two days or when vomit,abdominal distension appeared in control group.Results There are no significant differences in serum bilirubin level,recovering days of weight,occurence rate of vomiting,abdominal distension between the treatment group and the normal premature infants group (P ＞ 0.05 ).Oppositively,there were significant differences between the control group and the treatment group ( all P ＜ 0.01).Conclusion Using high-frequency ultrasound to treat the delay meconium exclusion is an optimal management,it may reduce the complications and recovery the weight of the premature infants with delayed meconium exclusions.