临床中经胃管内注入奥美拉唑对胃肠道出血新生儿的护理方法

Nursing care in neonates with gastrointestinal bleeding administered omeprazole via a gastric tube

目的:分析临床中奥美拉唑胃内保留治疗新生儿消化系出血的临床护理方法,为以后临床护理提供参考.方法:选取四川省人民医院2011-06/2012-06的80例新生儿消化系出血患儿为研究对象,将其按照随机数字表法分为研究组与对照组,均40例.对照组给予插胃管,用生理盐水进行冲洗,待好转之后给予维生素K进行处理,研究组给予插胃管,用碳酸氢钠进行冲洗,待好转之后胃管注入奥美拉唑,并且总结临床护理方法.结果:研究组治疗有效率为92.5%,明显的高于对照组的62.5%,组间的数据比较差异有统计学意义(P<0.05);研究组呕血停止时间、黑便停止时间、隐血试验转阴时间均明显的低于对照组,差异有统计学意义(P<0.05);研究组与对照组治疗过程中均未见有任何的不良反应,治疗情况良好.结论:奥美拉唑胃内保留治疗新生儿消化系出血是可行的,且加强针对性的护理可以提高疗效,更好的促进患儿的恢复.

AIM： To investigate nursing care in neonates with gastrointestinal bleeding administered omeprazole via a gastric tube.METHODS： Eighty neonates with gastrointestinal bleeding treated from June 2011 to June 2012 were randomly and equally divided into a study group and a control group. The control group received gastric tube insertion, rinsing with saline, and was given vitamin K after improvement, while the study group received gastric tube insertion, rinsing with sodium bicarbonate, and was given omeprazole after improvement. Clinical effects were compared between the two groups.RESULTS： The effective rate was significantly higher in the study group than in the control group（92.5% vs 62.5%, P 〈 0.05）. The times to vomiting relief, melena disappearance, and occult blood test negativity were significantly lower in the study group than in the control group（P 〈 0.05）. No adverse reactions occurred in either group. CONCLUSION： Omeprazole administration via a gastric tube is feasible in the treatment of neonatal gastrointestinal bleeding, and targeted care can improve efficacy and promote better recovery.