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目的:探讨分析羊水污染的新生儿洗胃时间的选择。方法:选取我院2013年6月~2014年6月收治的46例羊水污染新生儿,将其分为观察组(23例)和对照组(23例),给予观察组新生儿出生后<12h内洗胃,给予对照组新生儿出生后12h~24h内洗胃,观察两组新生儿第一次胎粪排出及胎粪转黄时间、呕吐持续时间及出生24h内低血糖发生率。结果:观察组第一次胎粪排出及胎粪转黄时间、呕吐持续时间及出生24h内低血糖发生率等指标均优于对照组,两组差异对比有意义(P<0.05)。结论:对羊水污染的新生儿及早采取洗胃措施能缩短呕吐时间,起到预防新生儿因呕吐导致的低血糖、窒息及吸入性肺炎等不良反应发生的作用,同时有利于促进新生儿体重回升。
Objective: To explore the choice of neonatal gastric lavage time for analyzing amniotic fluid pollution. Methods: Forty-six neonates with amniotic fluid contamination in our hospital from June 2013 to June 2014 were selected and divided into observation group (23 cases) and control group (23 cases) Gastric lavage was given to the control group of newborns after gastric lavage within 12h ~ 24h, two groups of neonatal first meconium discharge and meconium turning yellow time, vomiting duration and incidence of hypoglycemia within 24h. Results: The first meconium excretion and the time of meconium turning to yellow, the duration of vomiting and the incidence of hypoglycemia within 24 hours after birth in the observation group were better than those in the control group. There was significant difference between the two groups (P <0.05). Conclusions: Early gastric lavage of amniotic fluid can shorten the vomiting time, play an important role in preventing neonatal hypoglycemia, asphyxia and aspiration pneumonia and other adverse reactions caused by vomiting, at the same time help to promote newborn weight gain .