扩肛器肛门刺激在早产儿胎粪性便秘中的作用  

The Effect of Anal Stimulation With Anus Diffusers in Premature Infants With Meconium Constipation

作　　者：王秀玲[1] 许勇[1] WANG Xiuling;XU Yong(Neonatology Department,First Affiliated Hospitalof Fujian Medical University,Fuzhou Fujian 350000,China)

机构地区：[1]福建医科大学附属第一医院新生儿科,福建福州350000

出　　处：《中国卫生标准管理》2019年第1期187-190,共4页China Health Standard Management

摘　　要：目的通过回顾性研究,分析解除早产儿胎粪性便秘的应对措施,探讨有效解决早产儿便秘的最佳方法。方法选择2015年1月—2017年12月福建医科大学附属第一医院NICU收治的新生儿中66例出现便秘症状的早产儿为研究对象,随机将患儿分为两组,将其中使用常规法的33例为对照组,另一组在常规基础上使用扩肛器肛门刺激法的33例为观察组。结果经研究对比发现,观察组不仅首次胎粪排出时间、胎粪清除时间比对照组早,而且首次胎粪排出的量比对照组多,两组比较差异有统计学意义(P <0.01)。观察组的腹胀发生率明显低于对照组,且该组腹胀减轻、消退时间也明显比对照组短,两组比较差异有统计学意义(P <0.01)。观察组解除早产儿胎粪性便秘措施的效果明显优于对照组。结论采用扩肛器肛门刺激解除早产儿胎粪性便秘的临床效果显著,不仅能促进胎粪的顺畅排出,而且操作方法简便,安全可靠,效果满意,无不良反应。Objective To analyze the countermeasures of relieving meconium constipation of premature infants,and discuss the best way to solve the constipation of premature infants effectively through our retrospective studies.Methods There were 66 premature infants who had the symptoms of constipation chosen to be our research objects.They were received in NICU of the First Affiliated Hospital of Fujian Medical University from January 2015 to December 2017.These newborn babies were randomly divided into two groups.33 of them were treated with conventional methods as the control group.The rest of them were using anal stimulation with anal dilatations as the observation group.Results After studied,it was found that not only the time of the first meconium excretion and clearance of meconium in the observation group were earlier than those in the control group but also the amount of the first meconium excretion in the observation group was more than that in the control group,there was significant difference between the two groups(P<0.01).The incidence of abdominal distension in the observation group was significantly lower than that in the control group,and the time of abdominal distension relief and subsidence in the observation group was significantly shorter than that in the control group,the difference between the two groups was statistically significant(P<0.01).The effect of the observation group on relieving meconium constipation of premature infants was better than that of the control group.Conclusion The interventions which are using the anal stimulation with anal diffuser are effective for different kinds of premature infants with meconium constipation.Because it not only can promote to discharge the meconium smoothly,but also the operation method whose effect is satisfying and no adverse reactions,is simple,safe and reliable.

关 键 词：扩肛器 肛门 刺激 早产儿 胎粪性 便秘 作用 

分 类 号：R473[医药卫生—护理学]