开塞露联合腹部按摩治疗极低出生体质量儿的临床疗效及安全性  

Curative effect and safety of glycerine enema combined with abdominal massage in the treatment of very low birth weight infant

作　　者：黄海云[1] 

机构地区：[1]福建医科大学附属泉州第一医院新生儿科,福建省泉州市362000

出　　处：《临床合理用药杂志》2017年第3期153-154,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨早期开塞露联合腹部按摩治疗极低出生体质量儿的临床疗效及安全性。方法选取福建医科大学附属泉州第一医院2013年10月—2016年10月收治的极低出生体质量儿78例,按照随机数字表法分为对照组(n=39)和观察组(n=39)。对照组患儿采用常规治疗及腹部按摩,观察组患儿在对照组基础上给予开塞露通便治疗。记录比较两组患儿的喂养不耐受情况(呕吐、腹泻、胃潴留)及新生儿坏死性小肠结肠炎(NEC)发生情况及胎粪排出时间、恢复正常体质量时间及达全肠道喂养时间。结果观察组患儿呕吐、腹胀、胃潴留发生率低于对照组(P<0.05),两组患儿NEC发生率比较,差异无统计学意义(P>0.05)。观察组患儿胎粪排出时间、恢复正常体质量时间及达全肠道喂养时间短于对照组(P<0.05)。结论开塞露联合腹部按摩治疗极低出生体质量儿的效果明显,可有效减少患儿喂养不耐受情况,快速恢复正常体质量,缩短达全胃肠喂养时间,且安全性好。Objective To observe the curative effect and safety of glycerine enema combined with abdominal massage in the treatment of very low birth weight infant. Methods A total of 78 cases of very low birth weight infants were selected from October 2013 to October 2016 in Quanzhou First Hospital Affiliated to Fujian Medical University,which were divided into the control group（ n = 39） and the observation group（ n = 39）. Control group was given conventional treatment with abdominal massage,observation group was given glycerine enema based on control group. The feeding intolerance stituations（ vomiting,abdominal distension,gastric retention） and the incidence of NEC and the meconium discharge time,recovery time of normal body mass and whole gastrointestinal feeding time were compared between the two groups. Results Observation group of the rate of vomiting,abdominal distension,gastric retention were lower than control group（ P〈0. 05）,no statistically significant difference of the incidence of NEC was found between the two groups（ P〈0. 05）. The meconium discharge time,recovery time of normal body mass and whole gastrointestinal feeding time of observation group were shorter than control group（ P〈0. 05）.Conclusion Glycerine enema combined with abdominal massage have an obviously clinical effect in the treatment of very low birth weight infants,it can reduce the feeding intolerance stituations,quickly recover the normal body mass,shorten the whole gastrointestinal feeding time,and with good safety.

关 键 词：极低出生体质量儿 开塞露 腹部按摩 治疗结果 安全性 

分 类 号：R722.6[医药卫生—儿科]