早期洗胃治疗羊水胎粪污染儿的临床观察  

Observation of early gastric lavage to treat meconium amniotic fluid contamination

作　　者：刘晓萍[1] 王德胜[1] 

机构地区：[1]东莞市太平人民医院新生儿科,广东东莞523900

出　　处：《临床和实验医学杂志》2008年第6期24-25,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨早期洗胃对治疗羊水胎粪污染的新生儿呕吐、上消化道出血的影响。方法130例羊水胎粪污染儿随机分为两组,治疗组于生后2h早期洗胃;对照组不行洗胃,然后观察两组呕吐情况,并进行统计比较。结果治疗组65例有18例呕吐,上消化道出血4例。对照组65例有35例呕吐,上消化道出血7例。早期洗胃在羊水胎粪污染的新生儿中呕吐发生率明显低于对照组(P<0.01),但两组上消化道出血无明显差异(P>0.05)。结论早期洗胃可尽早除去污染羊水对胃黏膜的刺激,减少新生儿呕吐。Objective To assess the impact of early gastric lavage in neonate with meconium - stained amniotic fluid on neonatal vomit and upper gastrointestinal bleeding. Methods One hundred and thirty cases of neonates with meconium - stained amniotic fluid were randomly divided into two groups. The neonates in gastric lavage group were treated with gastric lavage two hours after birth and the neonates in control group did not receive gastric lavage. The occurrence of vomit was observed and compared between the two groups, Results Of the 65 cases in treatment group, vomit occurred in 18 cases, upper gastrointestinal bleeding in 4 cases; while of the 65 cases in control group, vomit occurred in 35 cases and upper gastrointestinal bleeding in 7 cases. The incidence of vomit in treatment group was significant decreased compared with control group （ P 〈0.01 ） ; however, the incidence of upper gastrointestinal bleeding was not significantly different （ P 〉 0.05 ）. Conclusion Early gastric lavage of the neonates with meconium - stained amniotic fluid may significantly reduce the incidence of vomit.

关 键 词：新生儿 早期洗胃 羊水胎粪污染 

分 类 号：R722.1[医药卫生—儿科]