静脉营养对早产低出生体质量儿早期生存质量的影响

Comparison of the Influence of Intravenous Nutrition on Early Quality of Life of Premature Infants with Low Birth Weight

目的:探讨新生儿重症监护病房静脉营养对早产低出生体质量儿早期生存质量的影响。方法:选取2018年7月至2021年6月福州市第二总医院收治的99例早产低出生体质量儿作为临床研究对象,按照奇偶数法将其分为常规营养组(49例)与静脉营养组(50例)。比较两组患儿生化指标、不良反应发生情况、生存质量以及临床存活率。结果:出生后72 h,静脉营养组患儿血糖、胆红素、三酰甘油、血肌酐水平高于常规营养组,差异具有统计学意义(P <0.05)。两组患儿不良反应发生率比较,差异无统计学意义(P> 0.05)。静脉营养组患儿各项Apgar评分均高于常规营养组,差异具有统计学意义(P <0.05)。两组患儿临床存活率比较,差异无统计学意义(P> 0.05)。结论:静脉营养可以显著提高早产低出生体质量儿早期的生存质量,提高临床治疗效果。

Objective To investigate the effect of intravenous nutrition on early quality of life of premature infants with low birth weight in neonatal intensive care unit.Methods Ninety-nine preterm infants with low birth weight admitted to Fuzhou Second General Hospital from July 2018 to June 2021 were selected as clinical study objects,and were divided into conventional nutrition group(49 cases)and intravenous nutrition group(50 cases)according to odd-even method.Biochemical indexes,occurrence of adverse reactions,quality of life and clinical survival rate were compared between the two groups.Results 72 hours after birth,blood glucose,bilirubin,triacylglycerol and serum creatinine in the intravenous nutrition group were higher than those in the conventional nutrition group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).The scores of Apgar in the intravenous nutrition group were higher than those in the conventional nutrition group,and the difference was statistically significant(P<0.05).There was no significant difference in clinical survival rate between the two groups(P>0.05).Conclusion Intravenous nutrition can significantly improve the early quality of life of premature infants with low birth weight and improve the clinical treatment effect.