促进胎便排出对早产儿黄疸的干预

The promotion meconium discharges to the premature infant jaundice's intervention

目的:观察口服四磨汤口服液及灌肠治疗促进胎便排出对早产儿黄疸的干预效果。方法:34例需经口或鼻胃管喂养的早产儿随机分成治疗组和对照组,各为17例。对照组予常规支持治疗,治疗组在此基础上予四磨汤口服液及灌肠治疗。测定两组早产儿生后第1、4、7、14天血清胆红素水平,并记录高胆红素血症发生例数和黄疸持续时间。结果:与对照组相比,治疗组早产儿生后第4、7天血清胆红素水平明显降低(P<0.01),高胆红素血症发生率明显减少(23.5%vs 53.0%,P<0.05),需光疗的总时间明显缩短[(36.94±28.75)vs(64.47±27.18),P<0.05],胎便排尽时间明缩短[(3.05±1.59)vs(4.52±2.06),P<0.05]。结论:早期应用四磨汤口服液及灌肠治疗可有效降低早产儿高胆红素血症发生率,缩短黄疸持续时间。

Objective：The observation takes orally four rubs the soup oral and the sausage treatment promotion meconium discharges to the premature infant jaundice＇s intervention effect.The method 34 examples must the premature infant who feeds after the mouth or the nose stomach tube divide into the treatment group and the control group stochastically,each is 17 examples.The control group gives the conventional support treatment,the treatment group based on this gives four rubs the soup oral and the sausage treatment.After determining two group of premature infants live,1st,4,7,14 day of blood serum bilirubin level,and the record high bilirubinemia sickness has the example number and the jaundice duration.Finally：Compares with the control group,after the treatment group premature infants live,the 4th,7 day of blood serum bilirubin level reduces obviously（P0.01）,High bilirubinemia sickness formation rate obvious reduction（23.5%vs 53.0%,P0.05）.Needs the phototherapy the total time to reduce obviously[（36.94±28.75）vs（64.47±27.18）,P0.05],The meconium draining away time clearly reduces[（3.05±1.59）vs（4.52±2.06）,P0.05].Conclusion：The early time applies four rubs the soup oral and the sausage treatment may cut the premature infant high bilirubinemia sickness formation rate effectively,reduces the jaundice duration.