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目的观察非营养性吸吮对坏死性小肠结肠炎(NEC)患儿的临床疗效。方法 NEC患儿45例,分为治疗组22例和对照组23例,治疗组在患儿生命体征平稳和腹胀减轻时开始进行非营养性吸吮。观察两组腹胀消失时间、肠鸣音恢复时间、粪潜血转阴时间、开奶后初始不吸吮例数,喂养后出现喂养不耐受例数及NEC病情反复或恶化例数。结果治疗组各项临床观察指标均优于对照组,差异有统计学意义(P<0.01),治疗组未见NEC病情反复和恶化。结论非营养性吸吮对NEC的恢复有促进作用,可避免开奶后喂养困难现象。
Objective To observe the clinical effect of non-nutritive sucking on children with necrotizing enterocolitis (NEC). Methods Forty-five children with NEC were divided into treatment group (n = 22) and control group (n = 23). The treatment group started non-nutritive sucking when the vital signs were stable and abdomen was relieved. Observe the disappearance of abdominal distension time, bowel sounds recovery time, the time of fecal occult blood turned negative, the initial number of cases of non-sucking after opening milk, Feeding intolerance after the number of cases and NEC repeatedly or worsen the number of cases. Results The clinical observation indexes of the treatment group were better than the control group, the difference was statistically significant (P <0.01), no recurrence and deterioration of the NEC in the treatment group. Conclusion Non-nutritive sucking can promote the recovery of NEC and avoid the difficulty of feeding after opening milk.