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极低出生体重儿静脉营养支持的临床观察

Use of intravenous nutrition in very low birth weight infants

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【作者】 许平贾焕荣

【Author】 XU Ping, JIA Huan rong (Department of Pediatrics,the People’s Hospital of Liaocheng City,Liaocheng 252000,Shandong,China)

【机构】 山东省聊城市人民医院儿科山东省聊城市人民医院儿科 山东聊城252000山东聊城252000

【摘要】 目的 :了解静脉营养对极低出生体重儿体重增长及预防并发症发生的作用。 方法 :将 90例极低出生体重儿分成观察组 (46例 )和对照组 (44例 ) ,观察组均用外周静脉法微电脑输液泵 2 4h内均匀输入静脉营养液 ,对照组给予一般综合治疗。 结果 :观察组出生后 4~ 10天 (平均 7天 )起体重开始增加 ,每天增重 15~ 30 (平均 2 2 .91± 7.2 2 ) g ;对照组出生后 12~ 16 (平均 14 )天 ,体重开始增加 ,每天增重 10~ 19(平均 14 .2 4± 4 .6 8)g。两组比较 ,有显著差异 (P <0 .0 5 )。观察组并发症发生率为 19.6 % (9/ 4 6 ) ,对照组为 70 .5 % (31/ 4 4 ) ,两组比较有显著差异 (P <0 .0 5 )。 结论 :静脉营养对极低出生体重儿非常重要 ,可降低并发症发生率 ,提高生存质量 ,促进体重增长及生长发育。

【Abstract】 Objectives:To evaluate the effect of parenteral nutrition in very low birth weight infants(VLBWI). Methods:Ninety very low birth weight infants were divided into two groups:study group( n =46) and control group( n =44).Fluids for intravenous nutrition were infused in the study group through peripheral vein with micro computer infusion pump within 24 hours.The control group were generally treated without nutritional support. Results:Body weight in the study group began to increase during the 4th to 7th day after birth.Weight gain was 15~30(average 22.9±7.22)g every day. In the control group,it began to increase during the 12th~16th day after birth.Weight gain was 10~19(average 14.24±4.68) g every day.There was significant difference( P < 0.05 ) between the two groups.The percentage of complicaiton in study group was 19.6%(9/46),and it was 70.5%(31/44) in the control group.The difference was significant between groups( P < 0.05 ). Conclusions:Intra enous nutrition treatment is very important for very low birth weight infants.It can reduce the percentage of complication,improve the quality of living and promote the growth and development.

  • 【文献出处】 肠外与肠内营养 ,Parenteral & Enteral Nutrition , 编辑部邮箱 ,2002年04期
  • 【分类号】R722.19
  • 【被引频次】2
  • 【下载频次】53
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