摘要
目的探讨早期护理干预预防危重新生儿呕吐的效果。方法对我院NICU收治的68例危重新生儿随机分成干预组和对照组,干预组在出生后开奶前予1%碳酸氢钠洗胃后禁食6h喂配方奶,在每次喂奶前给中脘穴按摩2～5min,喂奶后30min给俯卧位;对照组不洗胃,在出生4h后直接喂配方奶,观察2组在出生后5d内呕吐的发生率。结果干预组呕吐的发生率为16.1%,对照组为43.2%,差异有统计学意义(P<0.05);干预组中消化道出血4例;先天性食道闭锁1例。结论早期护理干预可减少危重新生儿呕吐的发生率并及早发现其他症状给予相应处理,促进患儿的早日康复。
Objective To discuss the effect of the early time nurses intervention on preventing vomits in critically ill newborns. Methods 68 critically ill newborns who admitted to our hospital NICU were divided into intervention group and control group randomly. The intervention group were fed with the compounding milk after given gastrolavage with 1% sodium bicarbonate and to fast for 6 hours,and massaged Zhongwan point for 2 to 5 min before feeding, then kept prone position for 30 min. The control group was fed only with the compounding milk 4 hours after born, without gastrolavage. The vomit prevalence between the two groups was observed in the latter 5 days. Results The vomit prevalence of intervention group and the control group were 16.1% and 43.2% respectively, and the difference had statistics significance （ P 〈 0.05 ）. Conclusions The early time nurses interven- tion can reduce the vomit prevalence of critically ill newborns and promote them recovery soon.
出处
《实用全科医学》
2007年第12期1116-1117,共2页
Applied Journal Of General Practice
关键词
洗胃
俯卧位
中脘穴按摩
呕吐
危重新生儿
Gastrolavage
Prone position
Zhongwan point massage
Vomiting
Critically ill newborns
