部分胃肠外营养对早产儿黄疸影响的临床观察

目的　观察应用胃肠外营养对早产儿黄疸的影响。方法　将早产儿随机分为两组 :观察组在生后即给予胃肠外营养 ,对照组不予胃肠外营养 ,只给一般的静脉补液。观察两组病例在出生后 2 4h、72h、12 0h的经皮测胆红素值的变化情况。结果　两组病例出生 2 4h经皮测胆红素值差异无显著性 (P >0 .0 5 ) ;出生 72h经皮测胆红素值差异有显著性 (P <0 .0 5 ) ,出生 12 0h二者比较也有显著差异 (P <0 .0 5 ) ;两组病例中有并发症的早产儿其各时期的胆红素值比较也符合上述结果。结论早产儿不论其有无并发症 ,应用胃肠外营养 ,均可降低黄疸的发生率或减轻黄疸的严重程度

Clinical effects of partial parenteral nutrition on premature jaundice

Objective To observe the effects of parenteral nutrition on premature jaundice. Methods A total of 48 premature infants were randomly divided into parenteral nutrition (PN) group and control group who was given intravenous fluid infusion. Bilirubin levels of these infants at different postnatal time points (24, 72, and 120 h) were detected by transdermal bilirubin scanner (HD-368), and evaluated the interfering effects of PN on jaundice in the two groups. Results In bilirubin levels, there was no significant difference between the two groups at the age of 24 h ( P >0.05). However, at the time of 48 h and 72 h after birth, the bilirubin levels were higher in control group than that in PN group (both P >0.05). Moreover, the same results were obtained in those premature infants with different complications in the two groups. Conclusion In early stage of neonatal period, parenteral nutrition therapy is beneficial to the premature jaundice infants either with or without complications.