改良洗胃法对新生儿洗胃的探讨  

Investigation on the modification of gastric lavage in newborn

作　　者：颜金花[1] 周娟[1] 

机构地区：[1]四川省人民医院儿科,四川成都610072

出　　处：《四川医学》2011年第4期478-480,共3页Sichuan Medical Journal

摘　　要：目的探讨一种新生儿洗胃方式,提高洗胃效果,减轻伤害。方法将104例咽下综合征新生儿随机分成3组,即对照组、观察1组、观察2组;对照组即采用传统洗胃法;观察1组插入时、洗胃后2h进行非营养性吸吮,长度为前额发际至剑突;观察2组插入时、洗胃后2h进行非营养性吸吮,长度为前额发际至脐部。结果 3组患儿一次性插管成功率、合作性、洗胃效果差异具有统计学意义(P<0.05)。结论新生儿洗胃时增加插入胃管长度,以前额发际至脐部并伴操作中、操作后非营养性吸吮,能提高洗胃的效果,减轻患儿的痛苦,减少临床操作时间。Objective To explore a neonatal gastric lavage method to improve gastric lavage effect and reduce the damage.Methods 104 newborn with swallowing syndrome randomly divided into 3 groups,namely the control group,observation group 1,observation group 2.The control group namely useded the traditional gastric lavage method;observation group 1 namely carried on the non-trophism suction when feeding tube was being inserted and after 2h of the gastric lavage,and the inserted length was from the forehead hair edge to xiphoid;observation group 2 namely carried on the non-trophism suction when feeding tube was being inserted and after 2h of the gastric lavage,and the inserted length was from the forehead hair edge to navel.Results There were significant differences in one-time success rate of intubation,cooperation,gastric lavage effect among the three groups of newborn（P0.05）.Conclusion The effect of gastric lavage can be improved,pain be relieved,the clinical operation time be reduced by increasing the stomach tube length（from the forehead hair edge to navel） and associating non-nutritive sucking during and after operation.

关 键 词：新生儿 洗胃 非营养性吸吮 插入长度 咽下综合征 

分 类 号：R473.72[医药卫生—护理学]