ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (1): 24-26.doi: 10.3969/j.issn.1674-3865.2016.01.009

• 临床研究 • 上一篇    下一篇

不同方案治疗新生儿应激性溃疡出血的疗效观察

郑雪媚   

  1. 518045 广东 深圳,深圳市福田区妇幼保健院儿科
  • 出版日期:2016-02-25 发布日期:2018-11-19
  • 作者简介:郑雪媚(1980-)女,主治医师。研究方向:新生儿疾病诊治,E-mail:zhengxuemei2@163.com

Clinical observation of different therapeutic schemes in the treatment of neonatal stress ulcer hemorrhage

ZHENG Xuemei   

  1. Department of Paediatrics,Maternal and Child Health Care Hospital of Futian District,Shenzhen 518045,China
  • Online:2016-02-25 Published:2018-11-19

摘要:
目的:比较不同方案对新生儿应激性溃疡出血的治疗效果。
方法:2012年3月至2014年12月深圳市福田区妇幼保健院儿科收治的80例应激性溃疡出血患儿为研究对象,采用随机双盲法将其分为两组,每组各40例,对照组采取禁食、原发病对症干预等常规治疗,观察组在对照组基础上联合凝血酶治疗,比较两组临床疗效、主要症状消失时间及不良反应。
结果:观察组治疗总有效率95.0%(38/40),对照组80.0%(32/40),两组比较差异有统计学意义(P<0.05)。两组胃肠功能紊乱消失时间[(4.68±0.78)vs(7.86±0.82)]d、循环不良消失时间[(1.88±0.53)vs(3.92±0.35)]d、止血时间[(1.28±0.70)vs(2.82±0.84)]d方面比较,差异有统计学意义(P<0.01)。两组均未出现明显不良反应。
结论:常规治疗基础上联合血凝酶干预能明显缩短患儿的止血时间,疗效确切,可作为新生儿应激性溃疡出血治疗的重要手段。

关键词: 应激性溃疡出血, 血凝酶/治疗应用, 婴儿, 新生

Abstract:
Objective:To compare the therapeutic effect of different schemes on the stress ulcer bleeding in newborn infants.
Methods:A total of 80 cases of stress ulcer bleeding in children in our hospital from March 2012 to December 2014 were selected as the research subjects,and by the random double blind method,the cases were divided into two groups,each with 40 cases;the control group received routine treatment of fasting,primary disease symptomatic intervention,while the observation group was given the same treatment for the control group combined with hemocoagulase treatment;compared clinical curative effect,the main symptoms disappearance time and adverse reaction of the two groups.
Results:The total effective rate was 95.0% in the observation group and 80.0% in the control group,the difference being statistically significant(P<0.05).The disappearance time of gastrointestinal dysfunction was [(4.68±0.78)d vs (7.86±0.82)d] respectively,disappearance time of bad circulation was [(1.88±0.53)d vs(3.92±0.35)d] respectively,and the time to stop bleeding was respectively [(1.28±0.70)d vs(2.82±0.84)d],the difference being statistically significant(P<0.01).There were no significant adverse reactions in both two groups.
Conclusion:Conventional therapy combined with blood coagulation intervention can significantly shorten the bleeding time,and the effect is exact,which can be used as an important means of managing neonatal stress ulcer bleeding.

Key words: Stress ulcer bleeding, Hemocoagulase/therapeutic use, Infant,newborn