98例早产低出生体质量儿肠内肠外营养支持回顾性研析

Retrospective Analysis of Intestinal and Parenteral Nutrition Support in 98 Preterm Low Birth Weight Infants of Our Hospital

探讨我院早产低出生体质量儿肠内肠外营养支持的现状,采用回顾性研究方法,收集2016年6月1日~12月31日出院的98例早产低出生体质量儿病历资料,按出生体质量不同分为2000~2500 g、1500~2000 g、<1500 g 3组,肠外营养支持时间分别为(6.0±2.6)d、(11.4±6.9)d、(22.2±10.7)d;3组间差异有统计学意义(P<0.05)。开始胃肠道内喂养的时间分别为(22.9±13.5)h、(28.4±18.8)h、(42.5±22.3)h;3组间差异有统计学意义(P<0.05))。肠外营养处方配比尚存以下问题:非蛋白热氮比、糖脂比过高或过低,二价离子浓度超标等。以上结果表明,不同出生体质量的早产儿,肠外营养支持时间及开始胃肠道内喂养时间存在显著差异;肠外营养配比的合理性尚需规范。

To investigate the status of intestinal and parenteral nutrition support in preterm low birth weight infants of our hospital. The retrospective survey method was used to collect medical records of 98 preterm low birth weight infants, discharged from our hospital between June 1, 2016 and December 31,2016. According to the weight of birth, 2000-2500 g, 1500-2000 g and 1500 g, infants were divided into three groups. the average time of parenteral nutrition support in the 3 groups of premature infants were respectively 6.0 ±2.6 days, 11.4 ±6.9 days and 22.2 ±10.7 days, the differences among the three groups were statistically significant（P〈0.05）. Intestine feeding was started respectively at（22.9±13.5） h,（28.4±18.8） h and（42.5±22.3） h, the differences among the three groups were statistically significant（P〈0.05）. As for the prescriptions, the following problems appeared： non-protein hot nitrogen ratios were improper, glycolipid ratios were too high or low, divalent ion concentrations exceeded. The above results show that premature infants with different birth weight need different parenteral nutrition support time and intestine feeding time, and the rationality of parenteral nutrition ratios need to be regulated.