早产儿胎粪排出延迟临床分析  

Clinical analysis of the delayed passage of meconium in preterm infants.

作　　者：吴明赴[1] 符明风[1] 刘文清[1] 陈玉瑛[1] 

机构地区：[1]东南大学医学院附属扬州医院新生儿科,江苏扬州225001

出　　处：《中国儿童保健杂志》2005年第1期27-28,共2页Chinese Journal of Child Health Care

摘　　要：【目的】探讨胎粪排出延迟对早产儿的影响,为减少新生儿并发症提供依据。【方法】将胎粪排出延迟早产儿43例分为治疗组与对照组。治疗组应用温生理盐水与开塞露每日灌肠,胎粪排出少者加用一次。对照组每2d灌肠一次,或出现呕吐、腹胀者灌肠。【结果】治疗组血清胆红素、体重恢复日龄及呕吐、腹胀发生率与正常早产儿组差异无显著性,而对照组与治疗组及正常早产儿组比较则差异有显著性(P<0.05),且对照组住院时间长于治疗组及正常早产儿组。【结论】积极治疗早产儿胎粪排出延迟,可以减少新生儿并发症,促进体重恢复、增长,缩短住院时间。[Objective] To study the affection of delayed passage of meconium in preterm infants. [Methods] 43 preterm infants delayed passage of meconium were randomly assigned into the treatment group and control group. 22 preterm infants with normal passage of meconium were as a normal group. 2-3 ml of glycerin mixed with 10~15 ml of warmed normal saline was given every day in treatment group and if meconium passed less, another enema was given. Control group was received enema every two days or when vomit or abdominal distention appeared. [Results] There were no significant differences in serum bilirubin levels, recovering ages of weight and occurrence rate of vomiting and abdominal distention between the treatment group and the normal preterm infants group. But there were significant differences between the control group and the treatment group. The hospitalization time of the control group was more than that of the treatment group and normal group. [Conclusion] The complications may be reduced and the growth of preterm infants may be accelerated by active treatment of meconium in preterm infants.

关 键 词：眙粪 早产儿 并发症 

分 类 号：R722.15[医药卫生—儿科]