新生儿腹部疾病围手术期营养支持的临床观察

Clinical Observation on Nutrition Support in Perioperation of Abdominal Surgery in Neonates

目的探讨新生儿腹部外科围手术期肠外营养支持和早期母乳喂养对治疗效果的影响。方法将接受腹部手术的新生儿病例分为营养支持组(58例)和传统治疗组(40例)。观察与肠外营养支持和早期母乳喂养有关的并发症、治疗效果和术后并发症发生率。结果营养支持组早产儿、低出生体重儿所占比例显著高于传统治疗组。营养支持组治愈55例,因患短肠综合征放弃治疗3例。传统治疗组39例治愈,胆道闭锁术后未愈1例。营养支持组切口裂开的发生率较传统治疗组明显降低,差异有显著统计学意义。营养支持组肝功能、电解质、血糖水平未见明显异常。23例接受早期母乳喂养的患儿,未发生误吸或吸入性肺炎。结论新生儿腹部外科围手术期营养支持安全有效,术后早期母乳喂养有助于患儿康复。

Objective To explore the effects of parenteral nutrition support therapy and early breast feeding on therapeutic outcome in neonatal abdominal surgery. Methods 138 neonate cases who have received abdominal surgery, were divided into nutrition support group （n = 58）, and traditional therapy group （n = 40）, related complications,efficacy,and morbidity of the complication were observed.Results Proportions of premature, low birth weight infants in nutrition support group were obviously high than that of the traditional therapy group. 55 cases were cured only 3 cases abandon treatment because of short bowel syndrome in nutrition support group. 39 cases were cured in the traditional therapy group, one case was uncured after biliary atresia operation. Incision dehiscent rate in the nutrition support group was obviously low than that in the traditional therapy group （p 〈 0.05）. Liver function, electrolytes and blood glucose level were no abnormal change. 23 infants with early breast feeding have not occur misaspiration or aspiration pneumonia. Conclusions Nutrition support therapy in neonatal abdomen perioperation is safe, effective way, early breast feeding postoperation has contributed to rehabilitation of sick children.