早产儿营养支持难点与对策

Nutritional support in preterm infants

宫外生长发育迟缓(EUGR)在我国还相当普遍,如何对早产儿进行合理营养支持是新生儿科医生需关注的问题之一。该文介绍了早产儿肠外营养支持的途径选择和脂肪乳剂的选择、肠外营养应用时间及肠外营养相关的肝损害等并发症等问题。肠外营养相关的肝损害其机制仍不清,目前主要预防措施是尽早口服喂养、总热卡控制、积极抗感染等。

Extrauterine growth restriction is much popular in China and it is still challenge job for pediatricians. This article described the benefits for PICC in route of PN choice. New fat emulsions were appeared recently years, however they are no strong evidence for using in premature infants and need do more clinical trial. Parenteral nutrition associated with liver damage still is a serious complication of TPN and we encourage early enteral feeding, appropriate calore intake, anti sepsis for prevention.