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目的研究对早产儿进行肠内营养和肠外营养的效果。方法 81例未经母乳喂养的早产儿,根据随机数表分为A组41人给予肠内营养,B组40人给予肠外营养,研究指标:2周后的体重变化、不耐受、住院天数、死亡人数、头围增长;1周后的总蛋白(TP)、肌酐(CREA)、尿素(UREA)、血糖(Glu)、总胆红素(TBIL)、钙(CA)、磷(P)、钠(NA)、γ-谷氨酰转肽酶(GGT)。喂养30min后的C反应蛋白(CRP)、白蛋白(ALB)、转铁蛋白(TRF)。结果肠内营养组和肠外营养组之间的体重变化、住院天数、死亡人数、头围增长、TP、CREA、UREA、GLU、TBIL、CA、P、NA、GGT、CRP、ALB以及TRF相比,差异具有统计学意义(P<0.05);不耐受的人数相比,肠内营养组不耐受的人多于肠外营养组,且差异具有统计学意义(P<0.05)。结论从疗效、生化指标以及机体的应激反应中,肠内营养更符合集体消化吸收的生理过程,对早产儿的肝肾、消化功能能够产生良好的效果。
Objective To study the effects of enteral nutrition and parenteral nutrition on premature infants. Methods A total of 81 preterm infants without breastfeeding were enrolled in this study. According to the random number table, 41 patients in group A received enteral nutrition and 40 patients in group B received parenteral nutrition. Study indicators: body weight change after 2 weeks, intolerance, hospitalization The number of deaths and the head circumference of rats were increased after 1 week; the total protein (TP), creatinine (CREA), urea (UREA), blood glucose (Glu), total bilirubin (TBIL), calcium ), Sodium (NA), γ-glutamyl transpeptidase (GGT). C-reactive protein (CRP), albumin (ALB), transferrin (TRF) after feeding for 30min. Results Body weight changes, length of hospital stay, number of deaths, head circumference growth, TP, CREA, UREA, GLU, TBIL, CA, P, NA, GGT, CRP, ALB, and TRF phase between enteral nutrition group and parenteral nutrition group The difference was statistically significant (P <0.05). The number of people who were intolerant compared with those who were intolerant to enteral nutrition was more than that of parenteral nutrition group (P <0.05). Conclusions From the curative effect, biochemical index and the body’s stress response, enteral nutrition is more in line with the physiological process of collective digestion and absorption, and can have good effect on the liver, kidney and digestive functions of premature children.