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奥美拉唑胃内保留治疗新生儿消化道出血的护理

Omeprazole treatment of neonatal gastrointestinal bleeding gastric retention of nursing

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【作者】 莫兰李淑贤

【Author】 MO Lan;LI Shuxian;Guangdong Province Yunfu Maternal and Child Health-Care Hospital;Guangdong Provincial Maternity and Child Care Center;

【机构】 广东省云浮市妇幼保健院广东省妇幼保健院

【摘要】 目的总结奥美拉唑胃内保留治疗新生儿消化道出血的护理经验。方法对我院住院符合新生儿消化道出血诊断标准的患儿60例,随机分成两组,即治疗组30例和对照组30例,两组均予常规治疗,同时插胃管,对照组予冰生理盐水洗胃,至洗出胃液转清后拔出胃管,同时予维生素K1、止血敏静注,连用3 d;治疗组用1.4%碳酸氢钠洗胃,至洗出胃液转清后,胃管注入奥美拉唑0.5 mg加冰生理盐水,注后夹住胃管胃内保留,12 h 1次,疗程3 d,观察经治疗后两组患儿呕血和黑便停止情况。结果治疗组止血效果明显优于对照组,差异有显著性(P<0.05)。结论加强临床症状的观察、科学的护理,可以提高新生儿消化道出血的治愈率。

【Abstract】 Objective Summarize omeprazole in the stomach retains treats the newborn digestive tract hemorrhage the nursing experience. Methods Conforms to the newborn digestive tract hemorrhage diagnosis standard trouble 60 examples to my courtyard in hospital, divides into two groups stochastically, namely the treatment group 30 examples and the control group 30 examples, two groups give the conventional treatment, simultaneously inserts the stomach tube, the control group gives the ice physiological saline gastric lavage, to washes the gastric juice to transfer clear draws out the stomach tube, simultaneously gives Vitamin K1, dicynone static note,is used together 3 d; The treatment group with 1.4% sodium bicarbonate gastric lavages, after washes the gastric juice to transfer clear,the stomach tube pours into omeprazole 0.5mg to add the ice physiological saline, after the note grips in the stomach tube stomach to retain, 12 hours 1 time, the treatment course 3 days, observes after treats the latter two groups of troubles to spit up blood black with then stops the situation. Results The treatment group hematischesis effect surpasses the control group obviously, the difference has the significance(P <0.05). Conclusion Strengthens the clinical symptom the observation, science nursing, may enhance the newborn digestive tract hemorrhage the cure rate.

【关键词】 奥美拉唑新生儿消化道出血护理
【Key words】 OmeprazoleNewbornDigestive tract hemorrhageNursing
  • 【文献出处】 中国卫生产业 ,China Health Industry , 编辑部邮箱 ,2013年30期
  • 【分类号】R473.72
  • 【下载频次】84
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