洗肠对早产儿黄疸的疗效

Effect of Cleaning Intestinal Tract on Jaundice in Premature Infant

目的探讨洗肠干预对早产儿黄疸的疗效。方法对48例黄疸早产儿随机分组。治疗组在常规治疗黄疸的同时应用0．9％温盐水30-40mL，反复洗肠，1次／d，连续3-4d，监测经皮测胆红素值及光疗时间，观察胎便转为正常的时间及喂养耐受情况。结果1，洗肠组较未洗肠组早产儿的黄疸值明显下降（约34.2μmol／L），所需光疗时间缩短（P〈0．05）。2．洗肠组较术洗肠组早产儿胎便排尽时间早，喂养相对顺利。结论洗肠可协助早产儿黄疸尽早清褪。减少肠肝循环、减少肠壁对胆红素的重吸收，促进肠道蠕动。

Objective To study the effect of cleaning intestinal tract on treatment jaundice in premature infants, Methods We randomly assigned 48 premature infants from January to December in 200a. In the treatment group the intestinal tract was cleaned with 30 - 40 mL NS once daily and 3 - 4 days. The through curls bilirubin （TCB）, the times of blue light, me conium exhustion and feeding toleration were recorded. Results 1, The TCB was obviously descented about 34.2μmol/L and the time of blue light was shortened by 20 h in treated group（ P 〈 0.05）. 2. The time of meconium exhustion was early and the feeding was toleration in the treated group. Conclusion The result suggestea that clean the intestinal tract has therapeutic on the treatment jaundice in premature infants by diminishing hepatoenteral circulation and bilirubin reabsorption and promoting enterokinesia.