静脉营养对早产儿体重增长的影响观察

Observation of parenteral nutrition′s influence on ponderal growth of premature infants

目的探讨静脉营养对早产儿体重增加的影响。方法对本院2011年4月～2013年6月收治的新生儿科住院的早产低出生体重儿进行回顾性分析，根据应用静脉营养与否分为静脉营养组和对照组．对比两组的体重增加和并发症发生情况。结果静脉营养组存活率为92．00％，对照组存活率为70．00％：静脉营养组体重增长为（225．37±16．32）g，对照组体重增长为（120．68±20．58）g；静脉营养组平均热量摄入量为（85．43±25．68）kcal／（kg·d），对照组平均热量摄人量为（67．76±22．71）keal／（kg·d）；上述指标观察组均明显优于对照组，差异有统计学意义（P〈0．05）。静脉营养组患儿未发生静脉炎、高血糖、胆汁淤积、肝‘肾功能损害等不良反应。结论静脉营养能改善早产儿营养状况，更快更早地增长体重，提高存活率，降低死亡率，不良反应少，对早产儿的治疗有重要意义。

Ojbective To explore the influence of parenteral nutrition on ponderal growth of premature infants.Methods Data from neonates with low-body weight admitted into our department from April 2011 to June 2013 were retrospec- tively analyzed.They were divided into parenteral nutrition group and control group.The ponderal growth and occmTence of complications was compared in both groups.Results Survival rate in the parenteral nutrition group and control group was 92.00% and 70.00% respectively.The ponderal growth in the parenteral nutrition group was （225.37±16.32） g,while in the control group was （120.68±20.58） g.In aspect of average calorie intake,the value in the parenteral nutrition group and control group was （85.43±25.68） kcal/（kg .d） and （67.76±22.71） kcal/（kg.d）.The indexes mentioned above in the parenteral nutrition group was superior to that in the control group repeetively,the difference was significant （P〈0.05）. Besides,there were no such complications like phlebitis,hyperglycemia,cholestasis,and functional damage of the liver and kidney and so forth in parenteral nutrition group.Conclusion Parenteral nutrition can improve neonatal nutritional status,increase body weight fast and survival rate,and reduce mortality and adverse reaction,which has an important sig- nificance on treating premature infants.