早产儿静脉营养的临床探讨

Clinical observation of parenteral nutrition in premature infants

目的:探讨静脉营养在早产儿喂养中的作用。方法:75例早产儿随机分为3组:对照组(补充葡萄糖辅以少量的胃肠道喂养和非营养性吸吮)、非脂肪乳静脉营养治疗组(补充氨基酸、葡萄糖辅以少量的胃肠道喂养和非营养性吸吮)、脂肪乳静脉营养治疗组(补充脂肪乳、氨基酸、葡萄糖辅以少量的胃肠道喂养和非营养性吸吮)。1周后检测体重变化、相关生化指标和并发症情况。结果:非脂肪乳静脉营养和脂肪乳静脉营养治疗均能促进早产儿体重增长,减少并发症,且临床应用较安全。结论:静脉营养能够促进早产儿生长发育,提高临床治疗效果。

AIM： To observe the effect of parenteral nutrition （PN） in the feeding of premature infants. METHODS：Seventy five premature infants were randomly assigned into three groups. The control group supplied glucose combined with minimal enteral nutrition and as- sisted with nonutrition sucking. In treatment groups： the no-fat emulsion PN group supplied amino acids and glucose combined with minimal enteral nutrition and assisted with nonutrition sucking, and the fat emulsion PN group supplied fat emulsion, amino acids and glucose combined with minimal enteral nutrition and assisted with nonutrition sucking. After 1 week, the weight, the state correlated biochemical indicator and complications were detected. RESULTS： Both of the no-fat emulsion PN therapy and the fat emulsion PN therapy could promote weight gain and lessen complications, and the clinical application was comparatively safe. CONCLUSION： The PN can improve growth and development of premature infants and elevate the clinical therapeutic efficacy.