体位对新生儿胃排空的影响。
Effect of body position on gastric emptying in the neonate.
作者信息
Victor Y H
出版信息
Arch Dis Child. 1975 Jul;50(7):500-4. doi: 10.1136/adc.50.7.500.
Abstract
The effect of body position on gastric emptying was investigated in 48 neonates. The rate of gastric emptying is the same for healthy term, preterm, and small-for-dates infants. Infants with respiratory distress syndrome have delayed gastric emptying and a high incidence of abdominal distension and pooling of feeds in the stomach in the supine position. The stomach empties more rapidly in the prone and right lateral positions than in the supine and left lateral positions. These findings indicate that the prone or right lateral positions are to be preferred for nursing neonates, especially those in whom intolerance to the volume of feeds is likely to be a problem. Supine or left lateral positions have little merit in helping gastric emptying and should not be used routinely in hospital nurseries.
摘要
对48例新生儿研究了体位对胃排空的影响。足月健康、早产和小于胎龄儿的胃排空速率相同。患有呼吸窘迫综合征的婴儿胃排空延迟，仰卧位时腹胀和胃内食物潴留的发生率高。俯卧位和右侧卧位时胃排空比仰卧位和左侧卧位时更快。这些发现表明，护理新生儿时，俯卧位或右侧卧位更佳，尤其是那些可能存在对喂养量不耐受问题的新生儿。仰卧位或左侧卧位对促进胃排空作用不大，不应在医院新生儿病房常规使用。
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