发育支持护理与去乳糖奶粉喂养对剖宫产新生儿腹泻的治疗效果  

Effects of development support care combined with lactose-free milk powder feeding on diarrhea in cesarean section neonates

作　　者：李岩[1] 李霞[2] 雷勋明[1] 

机构地区：[1]湖北医药学院附属东风医院儿科,湖北十堰442000 [2]湖北医药学院附属东风医院眼科,湖北十堰442000

出　　处：《检验医学与临床》2016年第7期878-880,共3页Laboratory Medicine and Clinic

基　　金：湖北省卫生厅课题资助项目(B2014049)

摘　　要：目的探讨发育支持护理与去乳糖奶粉喂养对剖宫产新生儿腹泻的治疗效果。方法选择2013年7月至2015年2月在该院诊治的剖宫产新生儿腹泻患儿96例,根据随机数字表法分为治疗组与对照组各48例,两组均给予基础治疗,对照组给予发育支持护理,治疗组在对照组干预的基础上给予去乳糖奶粉喂养,两组治疗观察时间为7d。结果在治疗总有效率方面,对照组和治疗组分别为87.5%、97.9%,可见治疗组的疗效更好,两组差异有统计学意义(P<0.05)。而在腹泻次数减少时间与大便成形时间方面,治疗组分别为(2.15±0.34)d和(42.45±7.24)h,而对照组分别为(3.68±0.24)d和(75.22±8.13)h,组间比较差异有统计学意义(P<0.05)。治疗后治疗组的行为能力、原始反射、主动与被动肌张力和一般反应评分均明显高于对照组(P<0.05)。而在患儿的智能和运动发育评分方面,治疗组得分分别为(107.39±15.22)分和(108.33±14.19)分,而对照组分别为(98.13±11.02)分和(96.29±13.74)分,组间比较差异有统计学意义(P<0.05)。结论发育支持护理联合去乳糖奶粉喂养治疗剖宫产新生儿腹泻能有效促进临床症状恢复,有效改善患儿的神经行为能力,促进智能与运动能力发育,从而提高总体治疗效果。Objective To investigate the influence of development support care combined with lactose-free milk powder feeding on the curative effect in cesarean section neonates with diarrhea.Methods 96 cases of cesarean section neonatal diarrhea in our hospital from July 2013 to February 2015 were selected and equally divided into the treatment group and the control group according to the random number table method,48 cases in each group.The two groups were given the basic treatment.The control group received the development supportive care,while on this basis the treatment group was given the lactose-free milk powder feeding.The treatment observation time was 7d.Results The total effective rates after treatment were 97.9%in the treatment group and 87.5%in the control group,showing that the treatment group had better effect,the difference was statistically significant（P〈0.05）.The reducing time of diarrhea frequency and stool forming times in the treatment group were（2.15±0.34）d and（42.45±7.24）h,while which in the control group were（3.68±0.24）d and（75.22±8.13）h respectively,the differences between the two groups were statistically significant（P〈0.05）.The behavior capacity,primitive reflexes,active and passive muscle tension and general reactions scores after treatment in the treatment group were significantly higher than those in the control group（P〈0.05）.The intelligence and motor development scores after treatment in the treatment group were（107.39±15.22）points and（108.33±14.19）points,while which the control group were（98.13±11.02）points and（96.29±13.74）points,the differences between the two groups were statistically significant（P〈0.05）.Conclusion The development support care combined with lactose-free milk powder feeding can effectively promote the recovery of clinical symptoms in cesarean section neonates with diarrhea,improves the neurobehavioral ability,promotes the development of intelligence and motion ability,thereby increases the overall treatment effe

关 键 词：发育支持护理 去乳糖奶粉 剖宫产 新生儿腹泻 

分 类 号：R473.72[医药卫生—护理学]