胃肠喂养联合部分静脉营养在早产儿中的应用

    Combined therapy of partrial parenteral nutrition and enteral feeding for prenmature infants

    • 摘要: 目的:探讨早产儿胃肠喂养联合部分静脉营养的应用效果。方法:40例早产儿随机分为对照组和治疗组,在胃肠喂养的基础上,治疗组给予部分静脉营养,对照组静脉滴注5%~10%葡萄糖注射液和电解质,对两组进行有关指标监测。结果:应用静脉营养前后早产儿血生化、血糖与输注前后差异均无统计学意义(P>0.05);治疗组出生体重恢复时间、住院时间和体重增长均优于对照组(P<0.05~P<0.01)。结论:早产儿生后早期可耐受少量部分静脉营养,同时配合经口微量喂养,对早产儿血生化、血糖无影响,能缩短住院天数和促进体重增长。

       

      Abstract: Objective: To evaluate the effect of partial parenteral nutrition(PPN) plus enteral feeding on premature infants.Methods: Forty premature infants were randomly divided into control group and study group.The study group were administered parenteral nutrition in addition to enteral feeding,while the control group received 5%-10% glucose,fluid and electrolytes simultaneously.The relevant indices were measured in the 2 groups.Results: There were no significant differences in blood biochemistry and glucose between the two groups before and after PPN(P>0.05).The time of hospital stay and birth-weight regain was significantly shorter in the study group than in the control group(P<0.05-P<0.01).Conclusions: Premature infants could tolerate small volume of PPN during the first day of life.A combination of intravenous and small amount of oral feeding has no significant influence on the blood biochemistry and glucose of the infants,which may shorten the hospital stay and help the weight gain.

       

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