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[目的]观察产时吸出胃内容物,联合生后口服四磨汤口服液对预防和治疗新生儿呕吐的疗效。[方法]将128例新生儿随机分为观察组72例,对照组56例。观察组产时先用吸球吸口腔和鼻腔,随即自口腔下胃管吸出胃内容物;对照组产时仅常规用吸球吸口腔和鼻腔;生后2组均常规体位治疗加口服四磨汤口服液。[结果]观察组显效70例,有效2例,总有效率100.0%;对照组显效8例,有效38例,总有效率82.2%;2组总有效率比较差异有统计学意义(χ2=3.872,P<0.05),2组呕吐消失时间比较,观察组(1.05±0.38)d,对照组(2.51±1.57)d,2组差异有统计学意义(t=6.581,P<0.01);2组均未见明显不良反应。[结论]产时立即吸出胃内容物,联合生后口服四磨汤口服液加常规体位治疗是一种切实有效的预防和治疗新生儿呕吐的方法,值得临床推广。
[Objective] To observe the efficacy of oral inhalation of gastric contents at birth and oral administration of Si-Su Tang Oral Liquid to prevent and treat neonatal vomiting. [Methods] 128 newborn infants were randomly divided into observation group (72 cases) and control group (56 cases). Observation group when the first production with suction ball suction mouth and nasal cavity, immediately from the oral cavity under the stomach tube sucked out the contents of the stomach; the control group only conventional production with suction ball suction mouth and nasal cavity; postnatal 2 groups were treated with conventional oral plus four Oral liquid. [Results] In the observation group, 70 cases were markedly effective and 2 cases were effective. The total effective rate was 100.0%. In the control group, 8 cases were markedly effective and 38 cases were effective. The total effective rate was 82.2%. The total effective rate was significantly different between the two groups (χ2 = 3.872 , P <0.05). Compared with the disappearance time of vomiting in the two groups, the difference between the two groups was statistically significant (t = 6.581, P <0.01) in the observation group (1.05 ± 0.38) d and the control group No obvious adverse reactions were seen. [Conclusion] Immediately aspiration of gastric contents during delivery and combined oral administration of oral Si Si Tang oral liquid and conventional postural therapy is an effective and effective method to prevent and treat neonatal vomiting. It is worthy of clinical promotion.