早产儿早期静脉营养临床效果观察

Clinical observation of effect of early intravenous feeding on premature infants

目的:探讨早期静脉营养对早产儿的临床效果。方法:对122例不能完全耐受肠道营养的早产儿随机分成观察组(62例)和对照组(60例)。观察组在生后48 h内使用输液泵持续24 h均匀静脉输入营养液;对照组生后第3天给予同样静脉营养治疗。同时,两组患儿均根据病情尽早经口微量喂养。两组均每天测量体重及微量血糖。结果:观察组患儿生理性体重下降期持续时间短(P(0.01);两组患儿生后相同日龄测得FFA、TBiL、DBiL、TG、Chol无显著差异(P(0.05);观察组患儿并发症发生率低(P(0.05)。结论:早产儿对早期静脉营养能够耐受,并可缩短生理性体重下降期、促进生长发育、降低并发症的发生。

Objective： To observe the clinical effect of early intravenous feeding on premature infants. Methods： 122 cases of the premature infants were randomly allocated to treated group （62 cases） and control group （60 cases）. Treated group received intravenous nutrition within 48 hours of age, and control group received the same intravenous nutrition on the 3rd day. Weight and blood glucose were mensurated daily. Blood samples for FFA, TBil, DBil, TG and Chol concentrations were detected in all infants on the first and seventh day after birth. Results： The period regaining birth weigh was shorter in treated group than that in control group （P〈0. 01 ） . In two groups, the levels of serum FFA, TBil, DBil, TG and Chol had no significant difference on the same days after birth （ P 〉 0. 05 ） . The ratio of the complication in treated group was lower than that in control group （P 〈 0, 05） . Conclusion： Premature infants can tolerate the intravenous nutritions well during the 1 ～ 2 days after birth and have the shortened physiological weight descending period to promote the development and growth and to reduce the ratio of the complications.