目的：探讨头高俯卧位对早产儿胃食管返流的影响并总结其护理方法。方法选择我科收治的胃食管返流早产儿67例，根据护理方法的不同分为两组，观察组于喂奶后30 min、睡眠时采取头高俯卧位，对照组采取仰卧位，比较两组患儿每天呕吐次数，7 d后体重及吸入性肺炎发生率。结果治疗及护理7 d后，两组患儿呕吐次数较入院时减少，组内与组间比较差异均有统计学意义（P＜0.05）；两组患儿体重均增长，观察组大于对照组（P＜0.05）；对照组吸入性肺炎发生率为24.2%，观察组为2.9%，差异有统计学意义（P＜0.05）。结论头高俯卧位可减少早产儿胃食管反流次数，减少早产儿吸入性肺炎的发生。%Objective To discuss the affect of head-evelated prone position on gastroesophageal relfux of premature and summarize nursing methods. Methods 67 premature of gastroesophageal reflux in our department were divided into two groups by nursing methods. Observation group were nursed by head-evelated prone position 30 minutes after feeding and sleeping. Control group were nursed by supine position. The numbers of vomiting, weight after 7 days and incidence rate of aspiration pneumonia were compared between two groups.Results After 7 days treatment and nursing, all the numbers of vomiting in two groups were reduced, the differences between groups and intra-group were statistically significant (P<0.05). Compared with admission, the weight growth in observation group was better than control group (P<0.05). The incidence rate of aspiration pneumonia in control group was 24.2% and the observation group’s was 2.9%, the difference was statistically significant (P<0.05). Conclusion Head-evelated prone position could reduce the numbers of vomiting and incidence rate of aspiration pneumonia.
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