开奶前常规洗胃防治住院新生儿呕吐的临床观察

Effect of stomach lavage on neonatal vomiting before first fed in newborn

目的观察开奶前常规洗胃防治住院新生儿呕吐的疗效。方法将248例未开奶的住院新生儿随机分为2组,治疗组于开奶前予常规洗胃,对照组不行洗胃,观察2组呕吐情况及体重、进奶量差异。结果治疗组138例中,呕吐16例,占11.6%,对照组110例中,呕吐38例,占34.5%,治疗组呕吐的发生率明显低于对照组(P<0.01)。结论住院新生儿呕吐以咽下综合征和新生儿窒息为最常见病因;开奶前常规洗胃可尽早去除胎粪污染羊水、产道血性黏液对胃黏膜的刺激,是预防及治疗住院新生儿呕吐的重要措施之一,并可改善进食,增加新生儿营养。

Objective We performed this study to explore the clinical efficacy of stomach lavage on Neonatal Vomiting in neonates in hospital before the first？feed.Methods Between September 2010 and August 2012,Newborn（n=248）,with a mean age of 3.1 hours（range 0.25～6 hours）,were divided randomly into two groups： stomach lavage group and the control group who did not routinely have stomach lavage prior to feeds.Neonatal vomiting phenomena was observed,thediscrepancy between two groups was registered.Results The occurrence of vomiting were significantly（P0.05） reduced in stomach lavage group compared with the control group.After a period of 7 days,There was significant difference of body weight and volume between the both groups（P0.05）.Conclusion The cause of neonatal vomiting mainly is swallowing syndrome（accounting for 62.9%） and neonatal asphyxia（accounting for 20.4%）.Observation to neonatal vomiting and newborns＇ stomach lavage in hospital before they？were first？ fed are efficacious preventive measures.