中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
27期
8-9,10
,共3页
早产儿%极低出生体重儿%非营养性吸吮%灌肠%胃肠功能
早產兒%極低齣生體重兒%非營養性吸吮%灌腸%胃腸功能
조산인%겁저출생체중인%비영양성흡전%관장%위장공능
Premature infant%Very low birth weight infant%Non-nutritive sucking%Clysis%Gastrointestinal function
目的：探讨非营养性吸吮联合开塞露灌肠对极低出生体重早产儿胃肠功能的影响。方法80例极低出生体重早产儿为研究对象，随机分为对照组(38例)，观察组(42例)。两组患儿均给予常规治疗，观察组在此基础上加用非营养性吸吮联合开塞露灌肠治疗，比较两组患儿出生时一般情况，恢复出生体重的时间、留置胃管时间、达全肠道喂养时间、胎便排尽时间、住院时间。结果观察组恢复出生体重时间、留置胃管时间、达全肠道喂养时间、胎便排尽时间以及住院时间均短于对照组[(6.83±1.48)d VS (9.13±1.64)d、(17.50±3.98)d VS (22.45±4.48)d、(37.57±4.34)d VS (44.03±5.89)d、(20.81±2.18)d VS (24.13±2.99)d、(49.55±7.16)d VS (56.12±5.55)d]，两组比较，差异均有统计学意义(P<0.05)。结论非营养性吸吮联合开塞露灌肠可提高极低出生体重早产儿胃肠动力，促进胃肠功能成熟，减少胃管喂养时间，增加体重，缩短住院时间，减少治疗费用，值得临床推广应用。
目的：探討非營養性吸吮聯閤開塞露灌腸對極低齣生體重早產兒胃腸功能的影響。方法80例極低齣生體重早產兒為研究對象，隨機分為對照組(38例)，觀察組(42例)。兩組患兒均給予常規治療，觀察組在此基礎上加用非營養性吸吮聯閤開塞露灌腸治療，比較兩組患兒齣生時一般情況，恢複齣生體重的時間、留置胃管時間、達全腸道餵養時間、胎便排儘時間、住院時間。結果觀察組恢複齣生體重時間、留置胃管時間、達全腸道餵養時間、胎便排儘時間以及住院時間均短于對照組[(6.83±1.48)d VS (9.13±1.64)d、(17.50±3.98)d VS (22.45±4.48)d、(37.57±4.34)d VS (44.03±5.89)d、(20.81±2.18)d VS (24.13±2.99)d、(49.55±7.16)d VS (56.12±5.55)d]，兩組比較，差異均有統計學意義(P<0.05)。結論非營養性吸吮聯閤開塞露灌腸可提高極低齣生體重早產兒胃腸動力，促進胃腸功能成熟，減少胃管餵養時間，增加體重，縮短住院時間，減少治療費用，值得臨床推廣應用。
목적：탐토비영양성흡전연합개새로관장대겁저출생체중조산인위장공능적영향。방법80례겁저출생체중조산인위연구대상，수궤분위대조조(38례)，관찰조(42례)。량조환인균급여상규치료，관찰조재차기출상가용비영양성흡전연합개새로관장치료，비교량조환인출생시일반정황，회복출생체중적시간、류치위관시간、체전장도위양시간、태편배진시간、주원시간。결과관찰조회복출생체중시간、류치위관시간、체전장도위양시간、태편배진시간이급주원시간균단우대조조[(6.83±1.48)d VS (9.13±1.64)d、(17.50±3.98)d VS (22.45±4.48)d、(37.57±4.34)d VS (44.03±5.89)d、(20.81±2.18)d VS (24.13±2.99)d、(49.55±7.16)d VS (56.12±5.55)d]，량조비교，차이균유통계학의의(P<0.05)。결론비영양성흡전연합개새로관장가제고겁저출생체중조산인위장동력，촉진위장공능성숙，감소위관위양시간，증가체중，축단주원시간，감소치료비용，치득림상추엄응용。
Objective To investigate influence by non-nutritive sucking combined with glycerol enema on gastrointestinal function in very low birth weight premature infant. Methods A total of 80 very low birth weight premature infants as study subjects were randomly divided into control group (38 cases) and observation group (42 cases). Both groups received conventional therapy, and the observation group received additional non-nutritive sucking combined with glycerol enema for treatment. General delivery time, birth weight recovery time, gastric intubation time, full enteral feeding time, meconium defecation time, and hospital stay were compared between the two groups. Results The observation group had much shorter birth weight recovery time, gastric intubation time, full enteral feeding time, meconium defecation time, and hospital stay than the control group [(6.83±1.48) d VS (9.13±1.64) d, (17.50±3.98) d VS (22.45±4.48) d, (37.57±4.34) d VS (44.03±5.89) d, (20.81±2.18) d VS (24.13±2.99) d, (49.55±7.16) d VS (56.12±5.55) d]. The differences between the two groups all had statistical significance (P<0.05). Conclusion Implement of non-nutritive sucking combined with glycerol enema can remarkably improve gastrointestinal function in very low birth weight infant. It also accelerates gastrointestinal function development, reduces stomach tube feeding time, increases body weight, and shortens hospitalization time and treatment cost. This method is worth clinical promotion and application.
