肠外营养支持对极低出生体重儿的生长发育疗效观察

Outside intestines nutrition support antipode low birth weight growth curative effect observation

目的探讨早期肠外营养对极低出生体重儿(VLBW)体重增长的疗效。方法将初生体重<1500g的极低体重儿按比例随机分为治疗组和对照组,每组32例,对照组给予普通能量合剂,治疗组患儿出生24小时即应用"全合一"营养液,并辅以少量的胃肠喂养和非营养性吸允,营养液经外周静脉中心静脉置管(PICC),滴注时间维持在20h/d,应用30天,结果治疗组患儿的身高和体重增加显著大于对照组患儿,治疗组未增加患儿患氮质血症、必需脂肪酸缺乏、糖代谢紊乱和高胆红素等危险性。两组患儿并发症的发生率无显著性差异(P>0.05)。结论应用TPN液能缩短患儿平均住院时间,有效地促进身高和体重的增长。

Objective Outside the discussion early time intestines the nutrition（EPN）the antipode low birth weight son（VLBW）body weight grows influence and outside extremely low birth body weight early time application intestines nutrition security.Methods Divides into the treatment group and control group each group of 32 examples stochastically the newborn body weight 1500g side low body weight proportion,the control group gives the ordinary energy mixture,the treatment group babies is born 24h namely to apply the TPN fluid,and auxiliary feeds by the few stomach and intestines with the non-trophism attracts permits,the nourishing cream pass through the circumference vein center vein to set at the tube（PICC）,drops the note time to maintain at 20h/d,applies 30 days.Results The treatment group baby′s height and the body weight obviously are bigger than the control group baby,the treatment group have not increased the baby to contract azotaemia,the essential fatty acid lack,sugar metabolism lacks the disorder,risks and so on high bilirubin.Two group of baby complication formation rate non-significance difference（P0.05）.Conclusion Can reduce the baby equally in hospital time using the TPN fluid,promotes the height and the body weight growth effectively.