两种洗胃方法用于新生儿咽下综合征的效果观察

Effect observation of two gastric lavage methods in treating neonate swallowing syndrome

目的比较两种洗胃方法治疗新生儿咽下综合征的效果.方法常规组按常规捕胃管抽到胃液后注入洗胃液,洗胃后置右侧卧位.改良组在常规方法基础上增加洗胃液量,强调洗胃液温度以及捕胃管时的捕管长度,洗胃时取左侧卧位,洗胃后放置右侧卧位.结果经统计学分析,改良组效果明显优于常规组,有显著性差异(P＜0.01).结论新生儿咽下综合征洗胃时最佳体位为左侧卧位,洗胃液总量不超过60 ml,洗胃液温度30～35℃,洗胃后抬高上半身取右侧卧位为佳.

Objective To investigate the effect of two gastric lavage methods for neonate swallowing syndrome. Methods In routine group, the fluid was injected into the stomach when the gastric juice could be drawn by gastric tube. After lavaging, the baby was laid in the right lateral decubitus position. In reforming group, the volume of fluid was increased on the routine method basis, and temperature of fluid and the different tube length according to different purposes were emphasized. During lavaging, the baby lateral decubitus position was left, while it was right after lavaging. Results According to statistic analysis, the reforming methods of gastric lavage were more effective than the routine methods, and there was significant difference between them(P<0.01). Conclusion The best position during lavaging is left lateral decubitus position, and the best one after lavaging is right lateral decubitus position with the upper part of body being raised highly. The volume of fluid should not exceed 60 ml, and its temperature should be within 30~35℃.