新生儿坏死性小肠结肠炎的护理研究进展
|
摘要
介绍了新生儿坏死性小肠结肠炎(NEC)的临床表现、病因和发病机制,从病情观察、体温监测、减轻腹胀及腹痛、控制腹泻、喂养管理、健康教育等方面综述了新生儿坏死性小肠结肠炎的护理研究进展。
It introduced the clinical manifestations,etiology and pathogenesis of neonatal necrotizing enterocolitis(NEC).And it reviewed the research progress on nursing care of neonatal necrotizing enterocolitis from the observation of disease,temperature monitoring,relieving abdominal distension and abdominal pain,controling diarrhea,feeding management and health education.
It introduced the clinical manifestations,etiology and pathogenesis of neonatal necrotizing enterocolitis(NEC).And it reviewed the research progress on nursing care of neonatal necrotizing enterocolitis from the observation of disease,temperature monitoring,relieving abdominal distension and abdominal pain,controling diarrhea,feeding management and health education.
引文
[1]Huda S,Chaudhery S,Ibrahim H,et al.Neonatal necrotizing enterocolitis:Clinical challenges,pathophysiology and management[J].Pathophysiology,2014,21(1):3-12.
[2]Obladen M.Necrotizing enterocolitis-150years of fruitless search for the cause[J].Neonatology,2009,96(4):203-210.
[3]陈小慧,余章斌,李亚琴,等.美国极低出生体质量儿坏死性小肠结肠炎管理指南[J].实用儿科临床杂志,2012,27(14):1134-1136.
[4]中华医学会儿科分会新生儿学组.中国住院新生儿流行病学调查[J].中国当代儿科杂志,2009,11(1):15-20.
[5]Wendelboe AM,Smelser C,Lucero CA,et al.Cluster of necrotizing enterocolitis in a neonatal intensive care unit:New Mexico,2007[J].American Journal of Infection Control,2010,38(2):144-148.
[6]Bell MJ,Ternberg JL,Feigin RD,et al.Neonatal necrotizing enterocolitis.Therapeutic decisions based upon clinical staging[J].Annals of Surgery,1978,187(1):1-7.
[7]林广,Lily Kao.新生儿坏死性小肠结肠炎研究现状[J].中国实用儿科杂志,2004,19(10):632-634.
[8]Lin PW,Stoll BJ.Necrotising enterocolitis[J].The Lancet,2006,368(9543):1271-1283.
[9]harma R,Hudak ML,Tepas JJ,et al.Impact of gestational age on the clinical presentation and surgical outcome of necrotizing enterocolitis[J].J Perinatol,2006,26:342-347.
[10]朱梅英,顾敏贞.极低出生体重儿坏死性小肠结肠炎发生率和高危因素分析[J].中国新生儿杂志,2012,27(2):78-81.
[11]Epelman M,Daneman A,Navarro OM,et al.Necrotizing Enterocolitis:Review of state of the Art Imaging findings with pathologic correlation[J].RadioGraphics,2007,27:285-305.
[12]Singh R,Shah BL,Frantz ID.Necrotizing enterocolitis and the role of anemia of prematurity[J].Semin Perinatol,2012,36(4):277-282.
[13]温晨露,王丽.新生儿坏死性小肠结肠炎的临床特征观察与护理[J].全科护理,2013,11(10B):2707-2708.
[14]Gregory KE,Winston AB,Yamamoto HS,et al.Urinary intestinal fatty acid binding protein predicts necrotizing enterocolitis[J].The Journal of Pediatrics,2014,164(6):1486-1488.
[15]梁琼鹤,张新荣,唐文伟,等.坏死性小肠结肠炎的X线表现(附141例报道)[J].现代生物医学进展,2013(1):88-90.
[16]林慧佳,施丽萍,罗芳,等.腹部X线量表在新生儿坏死性小肠结肠炎中的应用价值[J].中国当代儿科杂志,2012,14(2):97-100.
[17]陈明祥.新生儿坏死性小肠结肠炎手术治疗进展[J].临床小儿外科杂志,2012,11(4):1.
[18]江燕,鲁艳.新生儿坏死性小肠结肠炎的护理干预[J].中国城乡企业卫生,2012,8(4):74-75.
[19]王青,王小红.新生儿坏死性小肠结肠炎47例护理体会[J].中国社区医师,2009,11(4):116.
[20]张英,荣德明,谢功群,等.早产儿坏死性小肠结肠炎21例的护理[J].北方药学,2014,11(1):193-194.
[21]秦乐,王志琴.145例新生儿坏死性小肠结肠炎的护理[J].当代护士(专科版),2013(2下旬刊):67-68.
[22]孙臻茹.新生儿坏死性小肠结肠炎的护理体会[J].求医问药,2012,10(8):110.
[23]李凤莲,黄艾芬.新生儿坏死性小肠结肠炎保守治疗期间的观察及护理[J].中国卫生产业,2014(9):60-61.
[24]张林娜,景登攀,王福幸.新生儿坏死性小肠结肠炎的护理[J].中国实用医药,2014(5):217-218
[25]周玉凤,张华玲,罗小燕,等.腹部按摩配合俯卧位对新生儿胎粪排出时间的影响[J].护理实践与研究,2008,5(3):21.
[26]谭稼荣,富林宝,陈静,等.抚触对促进极低出生体重儿胃肠道发育的影响[J].中国当代儿科杂志,2003,5(2):137.
[27]易庆,梁彪,李星.肠造瘘在新生儿坏死性小肠结肠炎救治中的临床应用[J].右江医学,2014,42(1):115-116.
[28]汉珍.实用新生儿学[M].北京:人民卫生出版社,2002:183.
[29]王建平,吴瑶瑶,王逸扬,等.新生儿结肠造口术术后护理体会[J].护士进修杂志,2009,24(10):960.
[30]陈利红,王好.婴儿柔湿巾用于新生儿擦浴[J].中华护理杂志,2008,43(3):217.
[31]万香,黄承凤,涂玉珍,等.儿童肠造口的护理[J].实用临床医学,2013,14(4):118.
[32]平辉,吴江,黄庆荣,等.小儿结肠造口术并发症的防治体会[J].白求恩军医学院学报,2006,4(1):20.
[33]陈义平.小儿急性坏死性小肠结肠炎术后造瘘口护理两种方法的比较[J].临床护理杂志,2011,10(2):79-80.
[34]Herrmann K,Carroll K.An exclusively human milk diet reduces necrotizing enterocolitis[J].Breastfeeding Medicine,2014,1.
[35]崔其亮.新生儿坏死性小肠结肠炎治疗中的矛盾与对策[J].实用儿科临床杂志,2012,27(2):84-86.
[36]岳晓红,赵翠霞,芦惠,等.非营养性吸吮对早产儿营养及胃肠道转运时间的影响[J].中华儿科杂志,2003,41(2):91-94.
[37]贲友凤.早产儿合并坏死性小肠结肠炎的护理体会[J].实用临床医药杂志,2012,16(8):30-31.
[38]李美雪.肠道微生态和新生儿坏死性小肠结肠炎[J].国际儿科学杂志,2013,40(6):1.
[39]徐焱,张乐嘉,戈海延,等.新生儿重症监护病房的院内感染638例分析[J].中华儿科杂志,2007,45(6):437-441.
[2]Obladen M.Necrotizing enterocolitis-150years of fruitless search for the cause[J].Neonatology,2009,96(4):203-210.
[3]陈小慧,余章斌,李亚琴,等.美国极低出生体质量儿坏死性小肠结肠炎管理指南[J].实用儿科临床杂志,2012,27(14):1134-1136.
[4]中华医学会儿科分会新生儿学组.中国住院新生儿流行病学调查[J].中国当代儿科杂志,2009,11(1):15-20.
[5]Wendelboe AM,Smelser C,Lucero CA,et al.Cluster of necrotizing enterocolitis in a neonatal intensive care unit:New Mexico,2007[J].American Journal of Infection Control,2010,38(2):144-148.
[6]Bell MJ,Ternberg JL,Feigin RD,et al.Neonatal necrotizing enterocolitis.Therapeutic decisions based upon clinical staging[J].Annals of Surgery,1978,187(1):1-7.
[7]林广,Lily Kao.新生儿坏死性小肠结肠炎研究现状[J].中国实用儿科杂志,2004,19(10):632-634.
[8]Lin PW,Stoll BJ.Necrotising enterocolitis[J].The Lancet,2006,368(9543):1271-1283.
[9]harma R,Hudak ML,Tepas JJ,et al.Impact of gestational age on the clinical presentation and surgical outcome of necrotizing enterocolitis[J].J Perinatol,2006,26:342-347.
[10]朱梅英,顾敏贞.极低出生体重儿坏死性小肠结肠炎发生率和高危因素分析[J].中国新生儿杂志,2012,27(2):78-81.
[11]Epelman M,Daneman A,Navarro OM,et al.Necrotizing Enterocolitis:Review of state of the Art Imaging findings with pathologic correlation[J].RadioGraphics,2007,27:285-305.
[12]Singh R,Shah BL,Frantz ID.Necrotizing enterocolitis and the role of anemia of prematurity[J].Semin Perinatol,2012,36(4):277-282.
[13]温晨露,王丽.新生儿坏死性小肠结肠炎的临床特征观察与护理[J].全科护理,2013,11(10B):2707-2708.
[14]Gregory KE,Winston AB,Yamamoto HS,et al.Urinary intestinal fatty acid binding protein predicts necrotizing enterocolitis[J].The Journal of Pediatrics,2014,164(6):1486-1488.
[15]梁琼鹤,张新荣,唐文伟,等.坏死性小肠结肠炎的X线表现(附141例报道)[J].现代生物医学进展,2013(1):88-90.
[16]林慧佳,施丽萍,罗芳,等.腹部X线量表在新生儿坏死性小肠结肠炎中的应用价值[J].中国当代儿科杂志,2012,14(2):97-100.
[17]陈明祥.新生儿坏死性小肠结肠炎手术治疗进展[J].临床小儿外科杂志,2012,11(4):1.
[18]江燕,鲁艳.新生儿坏死性小肠结肠炎的护理干预[J].中国城乡企业卫生,2012,8(4):74-75.
[19]王青,王小红.新生儿坏死性小肠结肠炎47例护理体会[J].中国社区医师,2009,11(4):116.
[20]张英,荣德明,谢功群,等.早产儿坏死性小肠结肠炎21例的护理[J].北方药学,2014,11(1):193-194.
[21]秦乐,王志琴.145例新生儿坏死性小肠结肠炎的护理[J].当代护士(专科版),2013(2下旬刊):67-68.
[22]孙臻茹.新生儿坏死性小肠结肠炎的护理体会[J].求医问药,2012,10(8):110.
[23]李凤莲,黄艾芬.新生儿坏死性小肠结肠炎保守治疗期间的观察及护理[J].中国卫生产业,2014(9):60-61.
[24]张林娜,景登攀,王福幸.新生儿坏死性小肠结肠炎的护理[J].中国实用医药,2014(5):217-218
[25]周玉凤,张华玲,罗小燕,等.腹部按摩配合俯卧位对新生儿胎粪排出时间的影响[J].护理实践与研究,2008,5(3):21.
[26]谭稼荣,富林宝,陈静,等.抚触对促进极低出生体重儿胃肠道发育的影响[J].中国当代儿科杂志,2003,5(2):137.
[27]易庆,梁彪,李星.肠造瘘在新生儿坏死性小肠结肠炎救治中的临床应用[J].右江医学,2014,42(1):115-116.
[28]汉珍.实用新生儿学[M].北京:人民卫生出版社,2002:183.
[29]王建平,吴瑶瑶,王逸扬,等.新生儿结肠造口术术后护理体会[J].护士进修杂志,2009,24(10):960.
[30]陈利红,王好.婴儿柔湿巾用于新生儿擦浴[J].中华护理杂志,2008,43(3):217.
[31]万香,黄承凤,涂玉珍,等.儿童肠造口的护理[J].实用临床医学,2013,14(4):118.
[32]平辉,吴江,黄庆荣,等.小儿结肠造口术并发症的防治体会[J].白求恩军医学院学报,2006,4(1):20.
[33]陈义平.小儿急性坏死性小肠结肠炎术后造瘘口护理两种方法的比较[J].临床护理杂志,2011,10(2):79-80.
[34]Herrmann K,Carroll K.An exclusively human milk diet reduces necrotizing enterocolitis[J].Breastfeeding Medicine,2014,1.
[35]崔其亮.新生儿坏死性小肠结肠炎治疗中的矛盾与对策[J].实用儿科临床杂志,2012,27(2):84-86.
[36]岳晓红,赵翠霞,芦惠,等.非营养性吸吮对早产儿营养及胃肠道转运时间的影响[J].中华儿科杂志,2003,41(2):91-94.
[37]贲友凤.早产儿合并坏死性小肠结肠炎的护理体会[J].实用临床医药杂志,2012,16(8):30-31.
[38]李美雪.肠道微生态和新生儿坏死性小肠结肠炎[J].国际儿科学杂志,2013,40(6):1.
[39]徐焱,张乐嘉,戈海延,等.新生儿重症监护病房的院内感染638例分析[J].中华儿科杂志,2007,45(6):437-441.