中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
2期
155-157
,共3页
婴儿,早产%灌肠%胎粪%喂养不耐受
嬰兒,早產%灌腸%胎糞%餵養不耐受
영인,조산%관장%태분%위양불내수
Infant,Premature%Enema%Meconium discharge%Feeding intolerance
目的 探讨开塞露联合0.9％氯化钠溶液灌肠对早产儿胎粪排泄及喂养的影响.方法 2011年4月至2012年4月将90例胎龄30 ～ 36周的早产儿采用随机数字法分为观察组(45例)和对照组(45例).观察组应用2.5 ml开塞露配合2.5 ml0.9％氯化钠溶液保留灌肠,对照组予0.9％氯化钠溶液不保留灌肠.观察两组早产儿第一次胎粪排出量、胎粪排尽时间及喂养不耐受的发生情况.结果 观察组第一次排出胎粪量:＜35g共5例,35～ 50 g共28例,＞50 g共11例,对照组分别为16,24,5例,两组比较,差异有统计学意义(W=76.00,P＜0.05)；72 h内胎粪排尽情况:观察组为29例,对照组为15例；72 ～ 120 h胎粪排尽情况:观察组16例,对照组30例,两组比较,差异有统计学意义(W=56.70,P＜0.05)；观察组早产儿喂养不耐受率为15.56％,明显低于对照组的42.22％,两组比较,差异有统计学意义(x2=5.538,P＜0.05).结论 开塞露联合0.9％氯化钠溶液灌肠能有效促进早产儿胎粪的排泄,减少喂养不耐受的发生；而且操作简单方便,值得临床应用.
目的 探討開塞露聯閤0.9％氯化鈉溶液灌腸對早產兒胎糞排洩及餵養的影響.方法 2011年4月至2012年4月將90例胎齡30 ～ 36週的早產兒採用隨機數字法分為觀察組(45例)和對照組(45例).觀察組應用2.5 ml開塞露配閤2.5 ml0.9％氯化鈉溶液保留灌腸,對照組予0.9％氯化鈉溶液不保留灌腸.觀察兩組早產兒第一次胎糞排齣量、胎糞排儘時間及餵養不耐受的髮生情況.結果 觀察組第一次排齣胎糞量:＜35g共5例,35～ 50 g共28例,＞50 g共11例,對照組分彆為16,24,5例,兩組比較,差異有統計學意義(W=76.00,P＜0.05)；72 h內胎糞排儘情況:觀察組為29例,對照組為15例；72 ～ 120 h胎糞排儘情況:觀察組16例,對照組30例,兩組比較,差異有統計學意義(W=56.70,P＜0.05)；觀察組早產兒餵養不耐受率為15.56％,明顯低于對照組的42.22％,兩組比較,差異有統計學意義(x2=5.538,P＜0.05).結論 開塞露聯閤0.9％氯化鈉溶液灌腸能有效促進早產兒胎糞的排洩,減少餵養不耐受的髮生；而且操作簡單方便,值得臨床應用.
목적 탐토개새로연합0.9％록화납용액관장대조산인태분배설급위양적영향.방법 2011년4월지2012년4월장90례태령30 ～ 36주적조산인채용수궤수자법분위관찰조(45례)화대조조(45례).관찰조응용2.5 ml개새로배합2.5 ml0.9％록화납용액보류관장,대조조여0.9％록화납용액불보류관장.관찰량조조산인제일차태분배출량、태분배진시간급위양불내수적발생정황.결과 관찰조제일차배출태분량:＜35g공5례,35～ 50 g공28례,＞50 g공11례,대조조분별위16,24,5례,량조비교,차이유통계학의의(W=76.00,P＜0.05)；72 h내태분배진정황:관찰조위29례,대조조위15례；72 ～ 120 h태분배진정황:관찰조16례,대조조30례,량조비교,차이유통계학의의(W=56.70,P＜0.05)；관찰조조산인위양불내수솔위15.56％,명현저우대조조적42.22％,량조비교,차이유통계학의의(x2=5.538,P＜0.05).결론 개새로연합0.9％록화납용액관장능유효촉진조산인태분적배설,감소위양불내수적발생；이차조작간단방편,치득림상응용.
Objective To explore the effect of glycerol enema with 0.9％ normal saline (NS) in promoting premature infants' meconium discharge and feeding intolerance.Methods Ninety premature infants with gestational age of 30-36 weeks were randomly divided into the observation group and the control group,each with 45 patients.The observation group received enema with 2.5 ml glycerol enema combined with 2.5 ml 0.9％ NS,while the control group with 0.9％ NS unretained enema.Meconium discharge and feeding intolerance were observed and compared in two groups.Results Five cases in the observation group had less than 35 g first meconium discharge,28 cases had between 35 g to 50 g,and 11 cases had more than 50 g,while 16 cases in the control group had less than 35 g,24 cases had between 35 g to 50 g,and 5 cases had more than 50 g,and the differences were statistically significant (W =76.00,P ＜ 0.05).Twenty-nine cases in the observation group and 15 cases in the control group exhausted meconium in 72 hours,16 cases in the observation group and 30 cases in the control group exhausted meconium in 72-120 hours,and the differences were statistically significant (W =56.70,P ＜ 0.05).Feeding intolerance rate was 15.56％ in the observation group and 42.22％ in the control group,and the difference was statistically significant (x2 =5.538,P ＜ 0.05).Conclusions The glycerol enema with 0.9％ NS enema can effectively promote meconium discharge of premature infants and reduce feeding intolerance,which is easy to operate and worthy clinical application.
