新生儿窒息对胃肠道损害的研究  

Clinical Observation on Hurt of Gastrointestinal Tract in Neonatal Asphyxia

作　　者：刘均秋 成军伟 冯立彬[1] 贾丽静[1] 刘青霞[1] 

机构地区：[1]河北省藁城市人民医院儿科,藁城052160

出　　处：《中国医药导刊》2008年第7期995-995,997,共2页Chinese Journal of Medicinal Guide

基　　金：河北省科技项目指导计划项目(072761565)

摘　　要：目的:研究新生儿窒息对患儿胃肠道功能的损害。方法:通过对窒息新生儿的胃液进行胃液颜色、气味、黏液含量、pH值、分层情况、隐血试验、乳酸及胃蛋白酶观察或检测。结果:112例标本中,16例(14%)液颜色呈棕褐色、红色或咖啡色;28例(25%)胃液无酸味;27例(24%)pH值升高至3.5～7.0,为低酸;1例pH值升高至7.0以上,为无酸;56例(50%)黏液含量增多;65例(58%)分层明显,上层为黏液,中层为胃液,下层为血液或咽下物;18例(16%)隐血试验阳性;112例(100%)乳酸定性试验呈阴性;34例(30%)胃蛋白酶降低。结论:新生儿窒息可导致应激性溃疡、消化能力不足、蠕动功能障碍及感染四种胃肠功能损害。Objective： To study the harm of neonatal asphyxia to the function of gastrointestinal tract. Method： Observe and detect the color, smell, content of grume, pH value, laycred phenomenon, ocult blood test, latic acid and pepsin of the asphyxiant newborn＇s gastric juice. Results： Among 112 cases of Neonatal Asphyxia, 14% gastric juice was chocolate brown, red or coffee;25% doesn＇t smell acid. 24% pH Value hoists to 3.5-7.0, which is low acid. One pH Value hoists to above 7.0, which is anacidity. 50% contentof grume is increased; 58% lays obviously, upper layer grume, middle layer gastric juice, under layer blood or hypopharyngeal things. 16% the result of ocult blood test is positive.100% latic acid deterministic test is negative; 30% pepsin depressd. Conclusions： Neonatal asphyxia can lead to stess ulcer, poor digestion, hypanakinesis and infection of gastrointestinal tract.

关 键 词：窒息 新生儿 胃液 胃肠道功能 

分 类 号：R722.12[医药卫生—儿科]