新生儿坏死性小肠结肠炎的综合护理

Comprehensive nursing care of neonatal necrotizing enterocolitis

[目的]探讨新生儿坏死性小肠结肠炎的综合护理方法及效果,以期减少并发症,提高治愈率。[方法]选取62例新生儿坏死性小肠结肠炎患儿临床资料,从综合护理角度对新生儿坏死性小肠结肠炎患儿进行临床资料的分析,寻找护理观察与干预要点。[结果]新生儿坏死性小肠结肠炎以早产、低体重儿多见,且胎龄越小、体重越低,发病率越高,病情越重。早期症状体征以胃潴留、腹胀、呕吐咖啡色液及血便为主。诊断过迟,喂养不当,加奶过快是其发生发展的重要因素。[结论]综合护理措施对提高新生儿坏死性小肠结肠炎的治愈率,减少并发症有十分重要的支持作用。

Obj ective：To probe into the comprehensive nursing method of neonatal necrotizing enterocolitis and its effect,in order to reduce complications and improve cure rate.Methods：The clinical data of 62 cases of neo-natal necrotizing enterocolitis in our hospital from 2012 January to 2014 November were collected.The clinical data of neonatal necrotizing enterocolitis were analyzed from the angle of comprehensive nursing so as to find nursing observation and intervention points.Results：Neonatal necrotizing enterocolitis occurred in preterm chil-dren and low birth weight children mainly,Moreover,the smaller the gestational age was and the lower the body weight of neonates was,the higher the incidence rate was and the more serious the illness was.Neonatal early signs and symptoms mainly included gastric retention,bloating,vomiting brown fluid and bloody stools.Late di-agnosis,improper feeding and milk too fast were the important factors of the occurrence and development of the disease.Conclusion：The comprehensive nursing measures has the very important support role for improving the cure rate of neonatal necrotizing enterocolitis and reducing the complications.