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目的 :探讨极低出生体重儿早期足量静脉营养的效果。方法 :选择我院儿科2008年1月至2011年12月收治的极低出生体重儿82例,随机分为2组。实验组45例,对照组37例,实验组予早期足量静脉养方案,对照组予传统的静脉营养方案。记录两组患儿恢复至出生体重时间、平均每日体重增长情况、达足量肠道喂养时间、住院时间、及相关合并症的发生率,对记录数据进行统计学分析。结果 :与对照组相比,实验组恢复至出生体重的时间、达足量喂养时间、住院时间短,平均每日体重的增长较多,差异有统计学意义;两组间均无静脉炎、血栓形成、高血脂、氮质血症及坏死性小肠结肠炎的发生。结论 :对极低出生体重儿应用早期足量静脉营养,体重增长快,达全胃肠喂养时间及住院时间缩短,且相关并发症的发生没有增加。
Objective: To investigate the effect of early enough parenteral nutrition on very low birth weight infants. Methods: 82 cases of very low birth weight children admitted to our hospital from January 2008 to December 2011 were randomly divided into 2 groups. 45 cases in the experimental group and 37 cases in the control group. The experimental group received adequate intravenous regimen in the early stage and the control group received the traditional intravenous nutrition regimen. The recovery time to birth weight, average daily body weight gain, intestinal feeding time, hospitalization time and related complications were recorded in two groups of children, and the data were statistically analyzed. Results: Compared with the control group, the experimental group returned to birth weight time, reaching adequate feeding time, short hospital stay, the average daily body weight increased more, the difference was statistically significant; no phlebitis between the two groups, Thrombosis, hyperlipidemia, azotemia and necrotizing enterocolitis. Conclusion: The application of early adequate parenteral nutrition to very low birth weight children, fast weight gain, full gastrointestinal feeding and hospital stay shortened, and the incidence of related complications did not increase.