危重症儿童急性胃肠功能障碍的防治.docVIP

精品论文 参考文献 危重症儿童急性胃肠功能障碍的防治 绵阳市中心医院儿科儿童监护室 四川绵阳 621000 【摘 要】目的：研究危重患儿急性胃肠功能障碍（AGD）发生的危险因素，探讨特殊配方奶粉对危重患儿急性胃肠功能障碍（AGD）的预防作用，分析早期预防对的AGD发生率的影响。方法：将2011年4月至2012年3月在绵阳中心医院儿科监护室（PICU）诊治的186例危重儿童随机分成三组。A组62例给予婴儿特殊配方奶粉（雀巢）喂养，B组和C组各62例均给予普通奶粉喂养。对A、B组两早期预防AGD的发生，C组不采用预防措施。结果：危重患儿年龄越小、危重程度评分越低、严重感染、休克均增加AGD的发生率（P＜0.05）。特殊配方奶粉对预防危重患儿AGD的发生无显著作用（P=0.51）。早期预防能降低AGD的发生率（P=0.04）和危重患儿的死亡率（P=0.04）。结论：对于存在发生AGD危险因素的危重患儿应早期预防AGD的发生，可降低AGD的发生率和危重患儿的死亡率。 【关键词】急性胃肠功能障碍 早期预防 危重儿 Prevention and Therapy of Acute Gastrointestinal Dysfunction in Children with Critically illness WU Pei，ZHAO Rong-Xiang，YU Jing （Pediatric Intensive Care Unit，MianYang Central Hospital，MianYang 62100，SiChuan） 【Abstract】ObjectiveTo study the risk factors and explore the preventive function of specialformula of acute gastrointestinal dysfunction（AGD）in critically ill children，analyse early prevention effects on the of incidence AGD.Methods Between April 2011 to March 2012，Have been diagnosed clearlyof 186 critically ill children was randomly assigned to three groups at PICU of MianYang Central Hospital. in group A，62 critically ill children was fed with special formula（Nestle），ingroup B and C，with each 62cases was fed with common formula. For group A and B，prevention measure was early implemented，while group C was not.Result Younger age，lower pediatric critical illness score，severe infection and shock increase the incidence of AGD（P＜0.05）. Special formula has no significant effect on the prevention of AGD in critically ill children.Early prevention measure can reduce the incidence of AGD（P=0.04）and the mortality rate of critically ill children（P=0.04）.ConclusionFor critically ill children who have the risk factors of AGD，early prevention measures should be implemented，It can reduce the incidence of AGD and mortality rate of critically ill children. 【Keywords】acute gastrointestinal dysfunction early prevention critically ill children 近年来，随着重症医学迅速发展，急性胃肠功能障碍（acute gastrointestinal dysfunction，AGD）在