da Silva P E, Collares E F
Departamento de Pediatria da Faculdade de Ciências Médicas da Universidade Estadual de Campinas.
Arq Gastroenterol. 1988 Apr-Jun;25(2):104-9.
Twenty four infants and children of both sexes with age ranging from 1 day to 18 months, and weighing between 2700 g and 10000 g, were studied. There were several reasons for admission; but during performance of the tests they were in complete recuperation of their illness and there was no evidence of gastrointestinal disturbs. Four gastric emptying studies were performed in every subject, in consecutive days, between 10 to 12 A.M. A nasogastric tube was used for injecting the test meals; these consisted of a dilute solution of phenolsulfonphthalein in a hydration oral solution recommended by W. H. O. Residual gastric volume was measured at the "free" position (without contention), and supine, right and left lateral decubitus, when the subjects were immobilized with a sheet. The test's sequence was aleatory. Our data allows us to conclude that the child's decubitus has an influence on gastric emptying when using the W.H.O. solution for oral hydration. Although no differences were observed, among the "free" position, right lateral and supine decubitus, the gastric emptying in the left lateral decubitus was significantly retarded. Even though this study has been carried among children without diarrhea or dehydration we still advise rapid gastric emptying position during rehydration in these little patients.
对24名年龄在1天至18个月之间、体重在2700克至10000克之间的男女婴幼儿进行了研究。入院原因有多种;但在进行测试时,他们的疾病已完全康复,且没有胃肠道紊乱的迹象。在每个受试者上午10点至12点之间连续四天进行了四项胃排空研究。使用鼻胃管注入测试餐;测试餐由世界卫生组织推荐的口服补液溶液中的酚磺酞稀释溶液组成。当受试者用床单固定时,在“自由”体位(无约束)、仰卧位、右侧卧位和左侧卧位测量残余胃容量。测试顺序是随机的。我们的数据使我们能够得出结论,当使用世界卫生组织的口服补液溶液时,儿童的体位对胃排空有影响。尽管在“自由”体位、右侧卧位和仰卧位之间未观察到差异,但左侧卧位的胃排空明显延迟。尽管这项研究是在没有腹泻或脱水的儿童中进行的,但我们仍然建议在这些小患者补液期间采用胃排空快速的体位。