国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
5期
706-708
,共3页
林明珠%陈丽梅%温碧霞%谭碧连
林明珠%陳麗梅%溫碧霞%譚碧連
림명주%진려매%온벽하%담벽련
早产儿%胃液PH值%呼吸暂停
早產兒%胃液PH值%呼吸暫停
조산인%위액PH치%호흡잠정
Preterm infants%Gastric juice pH value%Apnea
目的 寻求纠正小于34周早产儿胃液pH值预防过酸的胃液返流入食管中段刺激迷走神经反射性致非窒息性呼吸暂停护理方法.方法 本研究选取60例胎龄小于34周无合并症早产儿,其中对照组30例,观察组30例.对照组:按传统护理,每天按4 ml/次/kg计算给与每次奶量,Q3H喂养一次,餐后自由体位,每天按医嘱予小剂量红霉素或者吗叮林药物治疗.观察组:Q2H喂奶一次,第一天按0.5 ml/次/kg计算给与每次奶量[1],以后每天递增奶量按0.5 ml/次/kg计算；喂养后头高60度并俯卧位；喂奶前监测胃液pH值；观察记录呼吸暂停发生情况.实践证明全奶pH值6～7,符合胃液正常PH值.二组患儿就二种方法进行比较胃液pH值＜4的发生率及呼吸暂停发生频率.结果 观察组胃液pH值＜4发生率(43.3％)低于对照组(90％),呼吸暂停发生率(56.5％)低于对照组(93.3％),P＜0.05,有统计学意义.结论 纠正小于34周早产儿胃液pH值的早产儿,胃食管返流及呼吸暂停发生频率明显减少,有显著的临床实用意义.
目的 尋求糾正小于34週早產兒胃液pH值預防過痠的胃液返流入食管中段刺激迷走神經反射性緻非窒息性呼吸暫停護理方法.方法 本研究選取60例胎齡小于34週無閤併癥早產兒,其中對照組30例,觀察組30例.對照組:按傳統護理,每天按4 ml/次/kg計算給與每次奶量,Q3H餵養一次,餐後自由體位,每天按醫囑予小劑量紅黴素或者嗎叮林藥物治療.觀察組:Q2H餵奶一次,第一天按0.5 ml/次/kg計算給與每次奶量[1],以後每天遞增奶量按0.5 ml/次/kg計算；餵養後頭高60度併俯臥位；餵奶前鑑測胃液pH值；觀察記錄呼吸暫停髮生情況.實踐證明全奶pH值6～7,符閤胃液正常PH值.二組患兒就二種方法進行比較胃液pH值＜4的髮生率及呼吸暫停髮生頻率.結果 觀察組胃液pH值＜4髮生率(43.3％)低于對照組(90％),呼吸暫停髮生率(56.5％)低于對照組(93.3％),P＜0.05,有統計學意義.結論 糾正小于34週早產兒胃液pH值的早產兒,胃食管返流及呼吸暫停髮生頻率明顯減少,有顯著的臨床實用意義.
목적 심구규정소우34주조산인위액pH치예방과산적위액반류입식관중단자격미주신경반사성치비질식성호흡잠정호리방법.방법 본연구선취60례태령소우34주무합병증조산인,기중대조조30례,관찰조30례.대조조:안전통호리,매천안4 ml/차/kg계산급여매차내량,Q3H위양일차,찬후자유체위,매천안의촉여소제량홍매소혹자마정림약물치료.관찰조:Q2H위내일차,제일천안0.5 ml/차/kg계산급여매차내량[1],이후매천체증내량안0.5 ml/차/kg계산；위양후두고60도병부와위；위내전감측위액pH치；관찰기록호흡잠정발생정황.실천증명전내pH치6～7,부합위액정상PH치.이조환인취이충방법진행비교위액pH치＜4적발생솔급호흡잠정발생빈솔.결과 관찰조위액pH치＜4발생솔(43.3％)저우대조조(90％),호흡잠정발생솔(56.5％)저우대조조(93.3％),P＜0.05,유통계학의의.결론 규정소우34주조산인위액pH치적조산인,위식관반류급호흡잠정발생빈솔명현감소,유현저적림상실용의의.
Objective To seek the methods of correcting gastric juice pH values and nursing care for apnea induced by gastroesophageal reflux cause.Methods 60 preterm infants of less than 34 weeks without complications were divided into a control group (30 infants) and a study group (30 infants).The control group received traditional care; and the infants in this group were fed milk on the amount of 4 mL/kg/time,every three hours for one time,had a postprandial free position,and received low-dose erythromycin or motilium on doctor' s order daily.The study group was fed milk on the amount of 0.5ml/kg/time,every two hours for one time on the first day,and then fed with an daily increase in milk of 0.5ml/kg,received a prone position with the head at a height of 60 degrees after feeding; the gastric juice pH values were detected.Incidence of apnea was observed and recorded.Whole milk with a PH value of 6 to 7 coincided with normal gastric juice pH value.The rate of gastric juice pH value of less than 4 and the incidence rate of apnea were compared between the two groups.Results The rate of gastric juice pH value of less than 4 and the incidence rate of apnea were significantly reduced in the study group.Conclusions Correction of gastric juice pH value in preterm infants of less than 34 weeks can obviously lower the incidence rates of gastroesophageal reflux and apnea and thus has significant clinical significance.
