鼻饲补液治疗小儿急性腹泻脱水疗效探讨  

Nasal rehydration therapy in children with acute diarrhea dehydration,effects discussion

作　　者：庞炜东 王世瑛 

机构地区：[1]新疆乌鲁木齐市火车西站医院儿科,830023

出　　处：《中国实用医药》2009年第6期28-29,共2页China Practical Medicine

摘　　要：目的探讨鼻饲法补液(WHO-ORS)2/3张或1/2张治疗小儿急性腹泻伴轻、中度脱水的优点和疗效。方法将85例随机分为鼻饲补液组为A组43例,静脉补液组为B组42例;A组在鼻饲插管前可先肌内注射等量的冬非合剂1mg/(kg.次)≤10mg,B组常规静脉补液。结果A组6～8h、24h平均补液为67、88ml/kg,B组42、95ml/kg;A、B组6～8h比较P<0.01,24h比较P>0.05。A组大便好转、止泻、热退时间分别为(2.46±0.90)、(4.85±0.32)d和(1.50±0.66)d,B组分别为(3.44±0.93)、(6.56±0.02)d和(2.62±0.75)d,组间比较P均<0.01;A组脱水纠正时间为(1.80±0.30)d,B组为(2.50±0.21)d,组间比较P<0.01。结论从小儿年龄生理特点来看,采用鼻饲法补液比静脉补液优点多,具有满意的治疗效果。Objective Discuss nasal rehydration （WHO-ORS） efficacy and merits with 2 / 3 or 1 / 2 treatment of acute diarrhea in children with mild to moderate dehydration. Methods 85 cases are randomly divided into Group A for 43 cases of Nasal rehydration,and Group B for 42 cases of intravenous rehydration; Group A nasal feeding tube before,firstly are injected into an equivalent amount of Chlorpromazine and promethazine injection 1 mg / （kg. times） ≤10 mg,Group B are injected into conventional intravenous fluid. Results 6～8 h,24 h; Group A average for rehydration 67 ml/kg,88 ml/kg,Group B average for rehydration 42 ml/kg,95 ml/kg,A,B group of 6～8 h comparison （P〈0.01）,24 h compared （P〉 0.05）; the Group A stool turn for the better,Anti-diarrhea,Anti-fever time are （2.46 ± 0.90）d,（4.85 ± 0.32）d and （1.50 ± 0.66）d; the Group B Anti-fever time are （3.44±0.93）d,（6.56±0.02）d and （2.62±0.75）d,Inter-group comparison（P average〈0.01）; the Group A correct time for dehydration is （1.80±0.30）d,for the Group B （2.50 ± 0.21）d,Inter-group comparison（P〈0.01）. Conclusion From the physical characteristics of children,nasal rehydration have more advantages than intravenous rehydration,it＇s satisfied with the treatment.

关 键 词：鼻饲补液 小儿急性腹泻脱水 疗效 

分 类 号：R725.7[医药卫生—儿科]