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目的:探讨更积极和规范的营养支持策略对早产儿的益处。方法:回顾分析天津市塘沽区妇幼保健院新生儿病房2005年1月～2008年12月收治的71例早产儿的综合营养支持情况。结果:2007年1月以前的早产儿作为对照组(23例),2007年1月以后的早产儿作为观察组(48例)。与对照组相比,观察组氨基酸起始剂量大、达氨基酸最大量时间短、喂养不耐受者应用促胃肠动力药物的比例高,差异有统计学意义(P<0.05);观察组早产儿生后第3天和第7天热卡摄入高、体重下降百分比低、恢复出生体重人数占本组总人数的比例高、宫外生长发育迟缓比例低,差异有统计学意义(P<0.05)。结论:早产儿生后应用静脉营养的起始剂量要较以往增大,可以达到1～1.5 g.kg-1.d-1,每天增长速度可达1 g.kg-1.d-1,以尽快达到最大量,喂养不耐受的早产儿可以应用促胃肠动力药物。
Objectives: To explore the benefits of more active and standardized nutrition support strategies for preterm infants. Methods: A retrospective analysis of Tianjin Tanggu MCH maternity ward in January 2005 ~ December 2008 admitted 71 cases of preterm infants nutritional status. Results: Preterm children before January 2007 served as control group (23 cases) and preterm children after January 2007 as observation group (48 cases). Compared with the control group, the observation group had a large starting amino acid dose and a shortest amino acid maximum time, and the proportion of gastrointestinal motility drugs was significantly higher in the non-tolerant group (P <0.05). In the observation group, preterm labor On the 3rd and 7th day after childbirth, the calorie intake was high, the percentage of weight loss was low, the proportion of people who regain birth weight in the total number of the group was high, and the proportion of ectopic growth retardation was low, the difference was statistically significant (P < 0.05). Conclusions: The initial dose of intravenous nutrition for premature infants after birth is higher than that in the past, which can reach 1 ~ 1.5 g.kg-1.d-1, the daily growth rate can reach 1 g.kg-1.d-1, As soon as possible to reach the maximum volume, feeding intolerant preterm children can be used to promote gastrointestinal motility drugs.