新生儿上消化道出血的胃肠外营养支持

Parenteral Nutrition Support for Hemorrhage of Upper Digestive Tract in Neonates

【目的】探讨不同营养支持疗法对新生儿上消化道出血患儿的生长发育、临床疗效及合并症发生率的影响。【方法】对 2 2例新生儿上消化道出血患儿 (观察组 )进行胃肠外营养支持 ,与 2 0例对照组比较其生长发育指标 (头围、体重、身长 )、血红蛋白、合并症发生率、平均住院天数等指标的差异。【结果】观察组的头围、体重、血红蛋白增长明显高于对照组 (P <0 .0 1 ;P <0 .0 5 ) ;合并症发生率、平均住院天数明显低于对照组 (P <0 .0 1 ;P <0 .0 5 )。【结论】胃肠外营养对新生儿上消化道出血具有重要的临床支持作用 ,能使患儿在禁食期间得到良好的营养支持 ,尽早康复 ,值得推广。

To explore the effects of support therapy with different nutrition on the growth, development, clinical therapeutic efficacy and rate of complication in neonates with hemorrhage of upper digestive tract (HUDT).Twenty-two neonates with HUDT(observed group) were supported by parenteral nutrition. Their criteria of growth and development (head circumference, body weight, body height). Hemoglobin (Hb) contents, rate of complication and average duration of hospitalization (days) were compared. with those in 20 healthy neonates (control group).The head circumference, body weight and elevation of Hb contents in observed group were significantly higher than those in control group (P<0.01;P<0.05); while the rate of complication and average days of hospitalization in the former were obviously lower than the latter (P<0.01;P<0.05).[Conclusion]Parenteral nutrition plays clinically an important supporting role for HUDT in neonates. It can provide good nutrition support to them during fasting period and promote early convalescence, so it is worthy of popularization.