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目的:观察西沙必利治疗新生儿胃潴留的疗效。方法:随机将80例新生儿胃潴留患儿分成二组,西沙必利组40例,男22例,女18例,孕周3785±267,出生体重(kg)315±057。用西沙必利片03-06mgkg-1d-1,ig或po分成了3次(间隔8小时给药一次),疗程2周;对照组40例,男19例,女21例,孕周3785±287,出生体重(kg)318±046。除治疗原发病外,不给任何药物治疗。二组皆以每次喂奶前抽吸胃内残留的奶汁的量作为评价疗效的指标。结果:疗程结束后,西沙必利组胃潴留的治愈率975%较对照组575%显著增高(x2=18.35,P<0.01)。结论:西沙必利治疗新生儿胃潴留有明显疗效。
Objective: To observe the efficacy of cisapride in the treatment of neonatal gastric retention. Methods: 80 cases of neonatal gastric retention were randomly divided into two groups, 40 cases of cisapride group, 22 males and 18 females, gestational age 37 85 ± 2 67, birth weight (kg) 3 15 ± 0 57. Cisapride tablets 0 3-0 6mg kg-1 d-1, ig or po divided into 3 times (interval of 8 hours administered once) for 2 weeks; the control group of 40 patients, 19 males, Female 21 cases, gestational age 37 85 ± 2 87, birth weight (kg) 3 18 ± 0 46. In addition to the treatment of primary disease, do not give any drug treatment. In both groups, the amount of milk remaining in the stomach before each feeding was used as an index to evaluate the curative effect. Results: After treatment, the cure rate of gastric retention in cisapride group was significantly higher than that in control group (97.5% vs 57.5%, x2 = 18.35, P <0.01). Conclusion: cisapride treatment of neonatal gastric retention has a significant effect.