小于34周早产儿胃液pH值与呼吸暂停相关的护理研究  

Gastric juice PH value in preterm infants of less than 34 weeks and numin8 care for apnea

作　　者：林明珠[1] 陈丽梅[1] 温碧霞[1] 谭碧连[1] 

机构地区：[1]江门市中心医院儿科ICU,529071

出　　处：《国际医药卫生导报》2013年第5期706-708,共3页International Medicine and Health Guidance News

摘　　要：目的寻求纠正小于34周早产儿胃液pH值预防过酸的胃液返流入食管中段刺激迷走神经反射性致非窒息性呼吸暂停护理方法。方法本研究选取60例胎龄小于34周无合并症早产儿，其中对照组30例，观察组30例。对照组：按传统护理，每天按4ml／次／kg计算给与每次奶量，Q3H喂养一次，餐后自由体位，每天按医嘱予小剂量红霉素或者吗叮林药物治疗。观察组：Q2H喂奶一次，第一天按0．5ml，次瓜g计算给与每次奶量[1]，以后每天递增奶量按0．5ml／次／k计算；喂养后头高60度并俯卧位；喂奶前监测胃液pH值；观察记录呼吸暂停发生情况。实践证明全奶pH值6～7，符合胃液正常PH值。二组患儿就二种方法进行比较胃液pH值〈4的发生率及呼吸暂停发生频率。结果观察组胃液pH值〈4发生率（43．3％）低于对照组（90％），呼吸暂停发生率（56．5％）低于对照组（93．3％），P〈0．05，有统计学意义。结论纠正小于34周早产儿胃液pH值的早产儿，胃食管返流及呼吸暂停发生频率明显减少，有显著的临床实用意义。Objective To seek the methods of correcting gastric juice pH values and nursing care for apnea induced by gastroesophageal reflux cause. Methods 60 preterm infants of less than 34 weeks without complications were divided into a control group （30 infants） and a study group （30 infants）. The control group received traditional care; and the infants in this group were fed milk on the amount of 4 mL/kg/time, every three hours for one time, had a postprandial free position, and received low-dose erythromycin or motilium on doctor＇ s order daily. The study group was fed milk on the amount of 0.5ml/kg/time, every two hours for one time on the first day, and then fed with an daily increase in milk of 0.5ml/kg, received a prone position with the head at a height of 60 degrees after feeding; the gastric juice pH values were detected. Incidence of apnea wasobserved and recorded. Whole milk with a PH value of 6 to 7 coincided with normal gastric juice pH value. The rate of gaslric juice pH value of less than 4 and the incidence rate of apnea were compared between the two groups, Results The rate of gastric juice pH value of less than 4 and the incidence rate of apnea were significantly reduced in the study group. Conclusions Correction of gastric juice pH value in preteiTn infants of less than 34 weeks can obviously lower the incidence rates of gastroesophageal reflux and apnea and thus has significant clinical significance.

关 键 词：早产儿 胃液PH值 呼吸暂停 

分 类 号：R473.72[医药卫生—护理学]