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目的探讨早产儿全胃肠外营养对各时段血糖水平的影响。方法对全胃肠外营养的82例早产儿,监测静脉营养(PN)72 h内各时段血糖水平,进行统计学分析。结果日血糖水平随时间推移而逐渐升高;第1日血糖波动明显,第2日、第3日各时段血糖相对稳定;PN后;未出现低血糖,血糖最高值逐渐上升。结论早产儿完全胃肠外营养血糖水平与PN液葡萄糖速度呈正相关;第l天易发生血糖紊乱;高血糖应作为PN后监测处理重点。
Objective To investigate the effect of total parenteral nutrition (PNP) on blood glucose in preterm infants. Methods Totally 82 preterm infants with total parenteral nutrition were enrolled in this study. Blood glucose levels were monitored within 72 hours of PN, and statistical analysis was performed. The results of daily blood glucose levels gradually increased over time; the first day of significant fluctuations in blood glucose, the second day, the third day of each period of relatively stable blood glucose; PN; no hypoglycemia, the highest blood glucose increased gradually. Conclusion The total parenteral nutrition blood glucose level in preterm infants is positively correlated with the glucose liquid of PN fluid, and the blood glucose disorder is easy to occur on the first day. Hyperglycemia should be the focus of post-PN monitoring and treatment.