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目的观察早期洗胃对防治羊水Ⅲ°胎粪污染新生儿呕吐的疗效。方法将164例羊水Ⅲ°胎粪污染新生儿随机分为两组,治疗组于出生后1 h内予早期洗胃,对照组不行洗胃,观察两组呕吐情况。结果治疗组82例中,呕吐24例;对照组82例中,呕吐43例。治疗组出现呕吐的发生率明显低于对照组(P<0.01)。结论早期洗胃可尽早去除污染羊水对胃黏膜的刺激,减少新生儿的呕吐。
Objective To observe the curative effect of early gastric lavage on prevention and treatment of neonatal vomiting induced by amniotic fluid Ⅲ ° meconium. Methods 164 cases of amniotic fluid Ⅲ ° meconium-stained newborn were randomly divided into two groups. The treatment group was given gastric lavage within 1 h after birth, while the control group was not gastric lavage. Vomiting was observed in both groups. Results 82 cases of treatment group, vomiting in 24 cases; control group of 82 cases, vomiting in 43 cases. The incidence of vomiting in the treatment group was significantly lower than that in the control group (P <0.01). Conclusion Early gastric lavage can remove contaminated amniotic fluid as soon as possible to stimulate gastric mucosa and reduce neonatal vomiting.