【摘要】 目的评估新生儿重症监护中心(NICU)中住院早产儿营养摄入和体重增长情况,以期对临床上早产儿早期的营养支持策略提供依据。方法对从我院NICU出院的53名早产儿,按出生体重分为体重≤1 500 g组和体重>1 500 g组,计算体重恢复至出生体重的平均时间;体重开始增长的日龄;静脉营养时间;比较出生及出院时体重百分位数。结果53例早产儿均出现程度不同的生理性体重下降,体重≤1 500 g组恢复至出生体重时间较长,体重开始增长日龄较晚,静脉营养时间较长,与>1 500 g组相比有显著性差异(P均<0.05)。出生时体重低于第十百分位的占37.7%,而出院时达到64.2%,经统计学处理有显著性差异(P<0.01)。结论早产儿在出生后早期容易出现生长发育落后,加强营养支持,出院后有必要续惯治疗,以完成追赶性生长。更多还原

【Abstract】 Aim To evaluate the current recommended diet intakes of premature infants in NICU.Methods 53 premature infants weighting between 1 000~2000 g were selected according to set requirements.They were divided into a ≤1 500 g group and 1 500~2000 g group.We recorded the days needed for regaining their birth weight and for beginning weight growth,and then the days for parenteral nutrition.Finally,we calculated the infants’ weight percentile and weight percentile scores both on admission day and discharged day.Result 56 cases showed physiological weight losses to various degrees.There are obvious differences between the two groups.It needed more days for regaining their birth weight,beginning weight growth,and parenteral nutrition in ≤1 500 g group.Percentage of weight lower than 10th percentile at discharge was 64.2%,and it was higher than that on admission(37.7%),which was significant in statistics.Conclusion Premature infants are prone to developing significant growth retardation before discharge.Special attention must still be paid to the nutrition of discharged premature infants to achieve catch-up growth.更多还原