不同相段处理胃内粪染羊水对防治新生儿消化道疾病的影响

Clinical analysis of treating intrgastric meconium-stained amniotic fluid in different times for preventing and treating newborn digestive diseases

目的探讨生后即刻抽吸胃内粪染羊水对治疗粪染儿呕吐等消化道疾病的影响。方法将粪染儿随机分为三组,治疗组(A组)于生后即刻抽吸胃内粪染羊水;治疗组(B组)于生后1～2 h内洗胃;对照组不予抽吸粪染羊水或洗胃,观察三组呕吐、腹胀等情况,并进行统计学处理。结果 A组78例中呕吐2例,腹胀1例,消化道出血0例;B组78例中呕吐11例,腹胀7例,消化道出血2例;对照组78例中呕吐35例,腹胀12例,消化道出血5例。越早抽吸胃内粪染羊水的新生儿中呕吐、腹胀及消化道出血发生率低于对照组(P<0.01、P<0.05、P<0.05)。结论越早抽吸胃内粪染羊水对预防新生儿呕吐等消化道疾病具有重要的临床意义。

Objective To explore the effects of postnatal instantly aspirating intragastrie meeonium-stained amniotie fluid for treating intragastrie vomiting and other gastrointestinal diseases in meeonium-stained newborns. Methods Meeonium-stained newborns were randomly divided into three groups. The treatment group A was immediately aspirated intragastrie meeonium- stained amniotie fluid after birth, the treatment group B was performed the stomach lavage at 1-2 h after birth and the control group had no aspiration of intragastrie amniotie fluid or stomach lavage. The conditions of vomiting and abdominal distention were observed among 3 groups and performed the statistical processing. Results In the treatment group A （78 eases） ,vomiting oc- curred in 2 eases, abdominal distension in 1 ease and gastrointestinal bleeding in 0 ease. In the treatment group B （78 eases）, vomiting occurred in 11 eases ,abdominal distention in 7 eases and gastrointestinal bleeding in 2 eases. In the control group （78 eases ）, vomiting occurred in 35 eases, abdominal distension in 12 eases and gastrointestinal bleeding in 5 eases.By earlier aspira- tion of neonatal intragastrie meeonium-stained amniotie fluid ,the incidence rate of vomiting, abdominal distention and digestive tract bleeding was lower than that in the control group （P〈0.01 ,P〈0.05 ,P〈0.05）. Conclusion Earlier aspiration of intragastrie meeonium-stained amniotie fluid has important clinical significance for prevention of neonatal digestive diseases such as vomiting.