洗胃及微量喂养对重症缺氧缺血性脑病胃肠功能紊乱的影响

    Effect of gastric lavage and the micro-feeding on severe gastrointestinal disorders of hypoxic ischemic encephalopathy

    • 摘要: 目的:探讨洗胃及微量喂养对重症缺氧缺血性脑病(hypoxic ischemic encephalopathy,HIE)胃肠功能紊乱的影响。方法:将2008年重症HIE 35例作为对照组,在入院时未洗胃,根据患儿病情直接给予常规喂奶及综合治疗和护理;2009年重症HIE35例作为干预组,在综合治疗及护理的基础上,在入院时即给予1%碳酸氢钠洗胃,禁食6h后再给予微量喂养。比较2组在入院7d内胃肠功能紊乱的发生率。结果:对照组与干预组相比,胃肠紊乱的发生率分别为45.71%和8.57%,差异有统计学意义(P﹤0.01)。干预组中,洗胃时发现先天性食道闭锁1例,应激性溃疡3例。结论:重症HIE在入院后给予洗胃及微量喂养,可有效降低重症HIE胃肠功能紊乱的发生,及时发现消化道异常,采取相对性的措施,可促进疾病的早日康复。

       

      Abstract: Objective:To explorer the influence of the gastric lavage and micro-feeding in severe gastrointestinal disorders of hypoxic ischemic encephalopathy(HIE).Methods:Thirty-five cases of severe HIE without gastric lavage on admission in 2008 were treated as the control group which was given regular feeding and direct comprehensive care and treatment.Thirty-five cases of severe HIE in 2009 were the intervention group which was given gastric lavage by 1% SB,6 hours fasting and micro-feeding on the basis of comprehensive care and treatment.The incidence of gastrointestinal disorders of the two groups within 7 days was Compared.Results:The incidence of gastrointestinal disorders in the control group and intervention group was 45.71% and 8.57% separately,which was a statistically significant difference(P﹤0.01).In the intervention group,one case of congenital esophageal atresia and 3 cases of stress ulcer were found through gastric lavage.Conclusions:After admission,gastric lavage and micro-feeding in severe HIE cases can effectively reduce the incidence of gastrointestinal dysfunction and can find gastrointestinal abnormalities in time to take relative measures to promote the disease early recovery.

       

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