小儿危重症早期干预胃肠功能障碍的临床研究  

The clinic research about early intervention of the stomach and intestine function obstruction of children with the critically ill

作　　者：农淑萍[1] 黄卫东[1] 孙毅[1] 李凯红[1] 朗新玲[1] 许锦姬[1] 

机构地区：[1]广东省深圳市宝安区妇幼保健院,518133

出　　处：《中国妇幼保健》2005年第15期1940-1942,共3页Maternal and Child Health Care of China

摘　　要：目的:对危重症患儿进行早期干预,探讨其胃肠功能障碍的发生率及其危重程度和死亡率。方法:对247例危重症患儿进行随机分组,分为观察组130例,予早期干预。方法为危重症患儿不论有否胃肠功能障碍均予:①留置胃管观察胃内出血及胃潴留情况;②合理禁食及进食;③保护胃肠粘膜;④平衡肠道微生态;⑤一旦出现上消化道出血即予相应的止血措施;⑥有腹胀予胃肠减压及血管活性药物。对照组117例,出现胃肠功能障碍时才给予相应治疗。结果:①观察组和对照组发生胃肠功能障碍分别为20例和46例,两组相比有显著性差异(χ2=7·66,P<0·05);②发生胃肠功能障碍的程度,观察组:早期13例、中期4例、晚期3例;对照组:早期16例、中期14例、晚期16例,两组相比有显著性差异(χ2=10·79,P<0·05);③观察组和对照组发生死亡分别为2例和14例,两组相比有显著性差异(χ2=7·73,P<0·01)。结论:危重症患儿早期给予胃肠功能保护能明显降低胃肠功能障碍的发生,也可缓解病情,明显减少危重症患儿的死亡。Objective： Research the presence rate, severity and death rate of the stomach intestine function obstruction after early intervening in the children with critically ill. Methods： The 247 critically ill children were divided into group randomly. The 130 suffering children belong to the observed group and have been early intervened. No matter what weather the suffering children had the stomach intestine function obstruction, the intervening method was that： （ 1 ） left the stomaeh tube to observe the condition of gastrorrhagia and gastric retention ; （2） fasted and took food reasonably; （3） protected stomach intestine mucosa; （4） balanced the minute eeology of intestinal tract ;（5） took hemostasia immediately while the upper digestive tract hemorrhaged; （6） gave stomach intestine decompression and the vein active medicine while abdominal distension. The 117 suffering children belong to the contrastive group and have been given corresponding treatment after appearing the symptom of stomach and intestine function obstruction. Results： （ 1 ） There were 20 children suffering the stomach intestine function obstruction in the observed group and 46 suffering children in the contrastive group. In this respect the difference was distinct between the two groups （χ^2 =7.66, P 〈 0. 05） ; （2） Concerning severity of the stomach intestine function obstruction, in the observed group there were 13 early stage cases, 4 middle stage cases and 3 later stage cases. In the contrastive group there were 16 early stage cases, 14 middle stage cases and 16 later stage cases. In this respect the difference was distinct between the two groups （χ^2 = 10. 79, P 〈0. 05 ） ; （3） In the observed group, there were 2 dead children and in the contrastive group there were 14 dead children. In this respect the difference was distinct between the two groups （χ^2 = 27.73, P 〈0. 01 ） . Conclusion： Early intervening in the critically ill children can obviously decrease the presence rate, sever

关 键 词：胃肠功能障碍 危重症 儿童 干预 早期 

分 类 号：R725.7[医药卫生—儿科]