CAJ | 학술논문

目的：探讨两种方法处理新生儿胎粪排出延迟的效果。方法按随机数字表法将67例胎粪排出延迟患儿分为两组，实验组37例，对照组30例，实验组患儿采用腹部按摩后开塞露液灌肠促排便，对照组患儿采用腹部按摩后肛门刺激促排便，比较两组患儿胎粪首次排出时间及量、胎粪排尽时间、腹胀呕吐、7d内病理性黄疸发生情况。结果实验组患儿干预后首次排出胎粪时间及量，排尽胎粪时间方面均优于对照组，腹胀呕吐及病理性黄疸发生率均明显低于对照组，两组比较，差异具有统计学意义（均P＜0.05）。结论腹部按摩后采用开塞露液灌肠较腹部按摩后采用肛门刺激，能更有效促进患儿胎粪排出，减少因胎粪排出延迟导致的腹胀、呕吐及病理性黄疸发生率。
목적：탐토량충방법처리신생인태분배출연지적효과。방법안수궤수자표법장67례태분배출연지환인분위량조，실험조37례，대조조30례，실험조환인채용복부안마후개새로액관장촉배편，대조조환인채용복부안마후항문자격촉배편，비교량조환인태분수차배출시간급량、태분배진시간、복창구토、7d내병이성황달발생정황。결과실험조환인간예후수차배출태분시간급량，배진태분시간방면균우우대조조，복창구토급병이성황달발생솔균명현저우대조조，량조비교，차이구유통계학의의（균P＜0.05）。결론복부안마후채용개새로액관장교복부안마후채용항문자격，능경유효촉진환인태분배출，감소인태분배출연지도치적복창、구토급병이성황달발생솔。
ObjectiveTo compare the effects of two methods for the treatment of delayed defecation of neonatal meconium. Methods Sixty-seven neonates with delayed defecation of neonatal meconium were divided into experiment group (n=37) and control group (n=30). The former group was managed with abdominal massage followed by glycerol enema and the latter with abdominal massage followed by anus stimulation.Then the groups were compared in terms of the time for initial defecation of meconium,the volume of defecation,exhanstion time for defecation,abdominal distention and vomiting and serum bilirubin within 7 days.Result The treatment group was superior to the control one in terms of time for initial defecation of meconium,the volume of defecation, exhanstion time for defecation (P<0.05) and the incidences of abdominal distention,vomiting and serum bilirubin within 7 days were significantly lower than the control group (P<0.05).Conclusions The method of glycerol enema combined with abdominal massage is more effective for promoting defecation of neonatal meconium than the method of anus stimulation.It can reduce the incidence of abdominal distension,vomiting and pathological jaundice.