摘要
目的探讨新生儿危重先天性心脏病术后不同时段开始肠内营养方案的应用效果。方法2015年、2016年两年间入住本院心脏重症监护室(CICU)的57例经体外循环的新生儿危重先天性心脏病患儿入选本研究。2015年的28例患儿为早期肠内营养组,术后24 h开始肠内营养;2016年的29例患儿为加速肠内营养组,术后6 h开始肠内营养。回顾性收集两组患儿营养相关实验室指标、术后喂养不耐受发生情况以及术后呼吸机辅助通气时间、住院时间、住院费用等,并进行统计分析。结果加速肠内营养组的出室白蛋白量、出室前白蛋白量高于早期肠内营养组,并且术后住院时间短、住院费用低,体重增长显著,差异均有统计学意义(P<0.05)。结论新生儿危重先天性心脏病手术后6 h开始肠内营养方案与术后24 h开始肠内营养方案相比,可改善患儿的营养状况,促进患儿康复,可降低住院费用。
Objective To explore the application effect of enteral nutrition in different periods after the operation of neonatal critical congenital heart disease.Methods In our hospital cardiac intensive care unit(CICU)of 57 cases of newborns with congenital heart disease in children enrolled in cardiopulmonary bypass during 2015-2016.In 2015,28 children were early enteral nutrition group,and enteral nutrition was started 24 hours after operation.In 2016,29 children were accelerate enteral nutrition group,and enteral nutrition was started 6 hours after operation.Retrospectively collected two groups of children with the nutrition related laboratory indexes,postoperative feeding intolerance,postoperative ventilator assisted ventilation time,hospitalization time and hospitalization expenses,and analyzed statistically.Results The volume of albumin and the amount of albumin before admission in accelerate enteral nutrition group were higher than those in early enteral nutrition group after operation,and postoperative hospitalization time was short,hospitalization costs were low,weight gain was significant,the difference all was statistically significant(P<0.05).Conclusion 6 hours after the start of enteral nutrition program,compared with 24 hours after the start of enteral nutrition program,can improve the nutritional status of children,promote the rehabilitation of children,can reduce the cost of hospitalization of critical congenital heart disease.
作者
杜娜
DU Na(Department of CICU,Guangzhou Women and Children's Medical Center,Guangzhou 510623,China)
