腹部按摩联合热敷促进早产儿胎粪排出的效果观察-妇产医学论文.doc

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1、腹部按摩联合热敷促进早产儿胎粪排出的效果观察■妇产医学论文腹部按摩联合热敷促进早产儿胎粪排出的效果观察余勇妙李桂花李么琴陈伟月梁建红严越秀摘要目的：观察腹部按摩联合热敷对促进早产儿胎粪排岀的效果。方法：将100例早产儿随机分成试验组和对照组,每组50例。对照组早产儿主要靠自身肠蠕动来排胎粪，当患儿出现腹胀明显或胎粪排出延迟时使用开塞露纳肛的方法解决便秘和促进胎粪排出；试验组在早产儿生后6h内开始给予腹部按摩及热敷，直至胎粪颜色由墨绿色转为全部黄色为止。观察两组早产儿首次排出胎粪的时间、首次排岀胎粪的量、胎粪排尽的时间及腹胀发生率。结果：试验组早产儿首次排胎粪的时间明显提前，

2、胎粪排尽的时间缩短，首次排岀胎粪的量明显增多,腹胀发生率为0,两组比较差异具有统计学意义(P<0.05)。结论:腹部按摩联合热敷可促进早产儿胎粪排出，促进胃肠功能的恢复，并提高患儿舒适度，减少并发症的发生。关键词早产儿；热敷；胎粪;腹部按摩doi:10.3969/j.issn.1672-9676.2013.08.008EffectobservationofabdominalmassagecombinedwithhotcompresspromotingpretermmeconiumexpulsionYUYong-miao丄IGui-huazLIMe-qinzetal(Firs

3、tPeople'sHospitalofZhaoqingcityGuangdongprovince,Zhaoqing526021)AbstractObjective:Toobservetheeffectofabdominalmassageandhotcompressforprematureinfantwithmeconiumdischarge.Methods:100casesofprematureinfantswererandomlydividedintotheexperimentalgroupandthecontrolgroupz50casesineachgroup.The

4、controlgroupinfantsrelymainlyontheirintestinalperistalsistomeconiumrowzwheninfantsabdominaldistentionweresignificantlyordelayedpassageofmeconiumusingglycerineenemaadmittedtoanusmethodstosolveconstipationandpromotingmeconiumdischarge.Experimentalgroupinthepreterminfantswithin6hafterabdomina

5、lmassageandhotcompressbegantogive,untilthecolourfromdarkgreentomeconiumallyellow.Toobservetwogroupsofprematurefirstmeconiumrowtimezfirstfrommeconiumamountmeconiumexhaustingtimeandtheincidenceofabdominaldistension.Results:Theexperimentalgroupofpreterminfantscomparedwiththecontrolgroup,thefi

6、rstmeconiumrowaheadoftimeobviouslyzmeconiumexhaustingtimeshortened,thefirstdischargeofmeconiumincreasedzabdominaldistensionoccurringataratewasOzthedifferencewasstatisticallysignificant(P0.05).Conclusion:Abdominalmassagecombinedwithhotcompresscanpromotepretermmeconiumdischarged.promotethere

7、coveryofgastrointestinalfunction^andincreasthecomfort,reducetheincidenceofcomplications.KeywordsPrematureinfant;Compress;Meconium;Abdominalmassage随着医疗技术水平的提高,早产儿的存活率也逐年提高，由于早产儿生长发育快,能量和营养需求高，而适应宫外环境能力差，消化系统发育不完善，胃肠蠕动功能差,小肠几乎没有推进活动,腹肌张力减弱,故易发生胎粪排出延迟、喂养困难、腹胀、呕吐、