不同浓度碳酸氢钠液洗胃对新生儿咽下综合症的影响

摘要

目的 观察不同浓度的碳酸氢钠液洗胃对新生儿咽下综合征疗效的影响.方法 将我院儿科88例咽下综合征患儿,随机分为对照组(A组)和实验组(B、C、D、E四组),分别采用温开水和浓度为1.0%、1.5%、2.0%、2.5%的碳酸氢钠液洗胃.观察患儿呕吐、腹胀、胃潴留情况及体重变化情况.结果 治疗组在呕吐、腹胀、胃潴留等方面都明显优于对照组,有显著性差异(p<0.05),但实验组之间无差异(p>0.05).实验组患者体重与对照组比较无差异(p>0.05).结论 1.0%的碳酸氢钠治疗新生儿咽下综合征疗效满意,并发症少,值得临床优先应用.%Objective To observe the effect of different concentration sodium bicarbonate gastric lavage on newborn with swallow syndrome.Methods 88 patients from our hospital were enrolled in this study.They were randomly divided into control group (A group) and experimental groups(B、C、D、E group) according to numerical table.Separately using water and 1.0%, 1.5%, 2.0%, 2.5% sodium bicarbonate solution gastric lavage.Vomiting, abdominal distention, gastric retention and weight changes was observed.Results The result showed that the vomiting, abdominal distention, gastric retention of patients in experimental group were better than that of patients in control group, and there were significant differences between them(p<0.05).but there were no significant difference among the experimental groups (p>0.05).And there were no significant difference among experimental and control groups in weight changes(p>0.05).Conclusion 1%sodium bicarbonate can much shorten the time to stop vomit and reduce complication.Therefore it is highly recommended and popularized.