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目的探讨静脉营养对早产低出生体重儿生长发育的影响。方法将93例早产低出生体重儿随机分为静脉营养组50例和非静脉营养组43例。2组均根据病情给予一般性治疗,静脉营养组在24h内开始静脉营养,非静脉营养组则尽早开始母乳或早产儿配方奶,经口或鼻胃管喂养。结果静脉营养组与非静脉营养组病例,宫外生长迟缓(EUGR)发生率分别为16.0%和39.5%,恢复到出生体重的日龄分别为(11.4±4.0)d和(13.4±4.6)d,每日增加体重分别为(21.5±5.14)g/d和(19.3±4.71)g/d差异均有统计学意义(P<0.05)。,黄疸消退的时间差异无统计学意义(P>0.05)。结论静脉营养可以更好地满足早产低出生体重儿早期生长发育所需,避免发生宫外生长迟缓,同时未增加高胆红素血症等并发症发生的危险。
Objective To investigate the effects of intravenous nutrition on the growth and development of premature low birth weight infants. Methods Ninety-three preterm low birth weight children were randomly divided into intravenous nutrition group (n = 50) and non-parenteral nutrition group (n = 43). 2 groups were given general treatment according to the disease, intravenous nutrition group started within 24 hours of intravenous nutrition, non-intravenous nutrition group as soon as possible to start breast milk or premature infant formula, oral or nasogastric feeding. Results The incidences of extrauterine growth retardation (EUGR) were 16.0% and 39.5% in intravenous and non-intravenous nutrition groups, respectively, and were 11.4 ± 4.0 days and 13.4 ± 4.6 days, respectively (21.5 ± 5.14) g / d and (19.3 ± 4.71) g / d respectively, the difference was statistically significant (P <0.05). , Jaundice disappeared no significant difference in the time (P> 0.05). Conclusion Intravenous nutrition can better meet the needs of premature low birth weight infants growth and development needed to avoid the occurrence of extrauterine growth retardation, while not increasing the risk of complications such as hyperbilirubinemia.