比较不同热氮配方肠外营养在早产儿中的应用效果

Application effect of parenteral nutrition for premature infantswith different hot nitrogen formulas

目的探讨不同热氮配方(高热氮与低热氮)肠外营养在早产儿中的临床效果,为临床推广做出指导。方法选择我院自2010年1月至2013年1月收治的86例早产儿为研究对象,将其完全随机分为两组,对照组给予高热氮肠外营养,观察组则给予低热氮肠外营养,对比观察两组患儿的临床效果。结果 (1)观察组患儿的肠外营养时间以及过渡到全肠内营养的时间明显低于对照组,但观察组患儿体重下降幅度以及恢复到出生时体重的时间明显高于对照组,差异具有统计学意义(P<0.05);(2)观察组患儿的并发症发病率为18.60%,明显低于对照组46.51%,差异具有统计学意义(P<0.05)。结论低热氮肠外营养应用在早产儿中的临床效果显著,能加快过渡至全肠内营养且安全性高,值得临床广泛推广。

Objective To investigate clinical effects of parenteral nutrition for premature infantswith different hot nitrogen formulas,providing guidance for clinical application. Methods Totally 86 premature infants were included in this study,they were born in our hospital during JAN 2010 and JAN 2013,and they were divided into two groups randomly. Premature infants in observe group were given parenteral nutrition with low hot nitrogen while premature infants in control group were given parenteral nutrition with high hot nitrogen,the clinical effects of the two groups were compared. Results The parenteral nutrition time andfull enteral nutrition transitiontime of observation group were shorter than that of control group,but the weight decrease extent was higherand the time regain to birth weight was longer than that of control group,all the differences were statistically significant（ P 0. 05）; The incidence of complications of observation group（ 18. 60%） was lower than that of control group（ 46. 51%）,the difference was statistically significant（ P 0. 05）. Conclusions Low nitrogen parenteral nutrition present significant effect for premature infants,which could shorted the full enteral nutrition transitiontime and keep safe as well,worthy of clinical expanding.