早产低出生体重儿50例静脉营养的临床疗效观察

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(P0.05)。,黄疸消退的时间差异无统计学意义(P0.05)。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。

Observation of Clinical Effect of Parenteral Nutrition on 50 Low Birth Weight Premature Infants

Objective]To explore the effect of parenteral nutrition on low birth weight premature infants.Methods]93 low birth weight premature infants were randomly divided into the parenteral nutrition （50 cases） and the non-parenteral nutrition （43 cases）.Two groups were given general treatment according to the disease condition,the parenteral nutrition group accepted parenteral nutrition within 24 hours,and the non-parenteral nutrition was fed by breast milk and formula milk for premature infant through the mouth or nasogastric tube as soon as possible.Results]The incidence of extrauterine growth restriction （EUGR） in the parenteral nutrition （50 cases） and the non-parenteral nutrition was 16.0% and 39.5%,the days old returned to birth weight of two groups were （11.4±4.0）d and （13.4±4.6） d,daily growing weight of two groups were （21.5±5.14） g/d and （19.3±4.71） g/d,all differences were significant （P0.05）.There was no significant difference in between tow groups.Conclusion]The parenteral nutrition can better satisfy the needs for early growth and development of low birth weight premature infants,and avoid the EUGR.Meanwhile,the risk of complications,such as hyperbilirubinemia,does not increase.