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目的:分析探讨两种洗胃方法(插入胃管的长度不同)治疗羊水Ⅲ度污染新生儿的临床疗效。方法:选取2010年6月至2011年12月间我院NICU收治的羊水Ⅲ度污染患儿50例作为研究对象,将其随机分为观察组(25例)和对照组(25例)。采用洗胃的方法对这50例患儿进行治疗,为观察组患儿进行洗胃时,插入胃管的长度以患儿前额发际至脐部的长度为标准,为对照组患儿进行洗胃时,插入胃管的长度以患儿前额发际至剑突的长度为标准。插好胃管后,为两组患儿反复注入生理盐水至回抽液澄清为止,观察两组患儿的洗胃效果,并将其临床资料进行回顾性的分析。结果:在观察组患儿中,呕吐症状的发生率为20%,在对照组患儿中,呕吐症状的发生率为52%,观察组患儿出现呕吐症状的例数明显低于对照组患儿,差异显著,X2=5.55,P<0.02,具有统计学意义。观察组患儿的盐水抽吸量为(39±5)ml,对照组患儿的盐水抽吸量为(22±4)ml,观察组患儿的盐水抽吸量明显高于对照组患儿的盐水抽吸量,差异显著,t=15.23,P<0.05,具有统计学意义。结论:以患儿前额发际至脐部的长度作为插入胃管的长度标准为患儿进行洗胃的临床疗效明显优于以患儿前额发际至剑突的长度作为插入胃管的长度标准为患儿进行洗胃的临床疗效。应用此方法为患儿进行洗胃,可降低其发生呕吐的几率,增加胃液的抽吸量,使洗胃更加彻底,值得在临床上推广应用。
Objective: To analyze and discuss the clinical efficacy of two gastric lavage methods (different insertion length of gastric tube) in neonatal Ⅲ degree amniotic fluid contamination. Methods: Fifty children with amniotic fluid Ⅲ degree pollution admitted to our hospital from June 2010 to December 2011 were selected as study subjects, and randomly divided into observation group (25 cases) and control group (25 cases). The method of gastric lavage treatment of these 50 cases of children for the observation group when gastric lavage, the length of the insertion of the stomach to the forehead of the child to the umbilical hair length as a standard for children in the control group to wash Stomach, the length of the insertion of the stomach tube to the forehead of the child hair to the length of the xiphoid as the standard. After the gastric tube was inserted, the two groups of children were repeatedly infused with normal saline until the fluid was clarified, and the gastric lavage effect was observed in both groups. The clinical data were retrospectively analyzed. Results: In the observation group, the incidence of vomiting was 20%. In the control group, the incidence of vomiting was 52%. The incidence of vomiting in the observation group was significantly lower than that in the control group Children, significant difference, X2 = 5.55, P <0.02, with statistical significance. The amount of saline aspiration in the observation group was (39 ± 5) ml, while that in the control group was (22 ± 4) ml. The amount of saline aspiration in the observation group was significantly higher than that in the control group The difference was significant, t = 15.23, P <0.05, with statistical significance. CONCLUSIONS: The clinical efficacy of gastric lavage with the length from the forehead hairline to the umbilicus as the standard for insertion into the gastric tube is significantly better than the length of the hairline from the forehead hairline to the xiphoid insertion tube Clinical efficacy of gastric lavage for children. Applying this method to gastric lavage in children can reduce the chances of vomiting and increase the amount of gastric juice aspiration, making gastric lavage more thorough and worth popularizing in clinic.