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岭南现代临床外科 ›› 2018, Vol. 18 ›› Issue (04): 393-396.DOI: 10.3969/j.issn.1009-976X.2018.04.006

• 论著与临床研究 • 上一篇    下一篇

生长抑素联合空肠营养管在新生儿先天性肠闭锁术后的应用效果观察

白剑, 梁劲文, 李秋菊, 王少梅, 梁裕柱, 吴敏秋   

  1. 佛山市南海区妇幼保健院小儿外科
  • 通讯作者: 白剑

The research on effect of somatostatin combined with jejunal nutrition tube on neonatal congenital intestinal atresia

BAI Jian,LIANG Jingwen,LI Qiuju,WANG Shaomei,LIANG Yuzhu,WU Minqiu   

  1. Department of Pediatric Surgery,Women s and Children s Health Care Institute of Nanhai District, Foshan,Guangdong 512236,China
  • Online:2018-08-20 Published:2018-08-20

摘要: [摘要] 目的 观察生长抑素联合空肠营养管在新生儿先天性肠闭锁术后的应用效果。方法 选择行先天性肠闭锁术新生儿 50 例,根据不同术后营养治疗方法分为对照组和观察组, 每组 25 例。对照组给予单一生长抑素治疗,观察组给予生长抑素联合空肠营养管治疗,对比两组患儿的手术方式、术后住院时间、体质量变化、不良反应发生情况等。结果 两组患者的手术方式比较无明显统计学差异(P>0.05);与对照组比较,观察组患者的住院时间明显缩短,3、7、14d 的体质量明显增长,差异具有统计学意义(P<0.05)。观察组不良反应发生率 4.0%(1/25)明显低于对照组32.0%(8/25)(P<0.05)。观察组隐血试验转阴时间、血红蛋白下降等情况都显著优于对照组(P<0.05)。结论 生长抑素联合空肠营养管应用于新生儿先天性肠闭锁术后患儿中,能够改善患儿的营养状态,降低不良反应发生率,具有较高的应用价值。

关键词: 空肠营养管, 生长抑素, 新生儿先天性肠闭锁术后

Abstract: [Abstract] Objective To observe the effect of somatostatin combined with jejunal nutrition tube onneonatal congenital intestinal atresia. Methods Fifty neonates with congenital intestinal atresia were divided into control group and observation group by different treatment method. The control group was treated with single somatostatin,the observation group was treated with somatostatin combined with jejunal nutrition tube,and the changes of body mass and adverse reactions were compared between the two groups. Results There was no significant difference in surgical methods between the two groups (P> 0.05). Compared with the control group,the length of hospitalization in the observation group was significantly shorter than that in the control group(P<0.05). After 3,7 and 14 days of treatment,the increase of body mass in the observation group was significantly greater than that in the control group(P< 0.05). The incidence of adverse reactions was 4.0%(1/25)in the observation group and 32.0%(8/25)in the control group(P<0.05). The occult blood test of the observation group was significantly better than that of the control group (P<0.05). Conclusion Somatostatin combined jejunum nutrition tube used in postoperative children with neonatal congenital intestinal atresia,it can improve the nutritional status of children,reduce the incidence of adverse reactions,has higher application value.

Key words: somatostatin, neonatal congenital intestinal atresia, jejunal nutrition tube