摘要
目的了解早产儿出生后早期的营养状况。方法采用回顾性分析方法,收集2007年6月-2009年6月本院NICU收治的早产儿,按新生儿体格发育标准分成生长正常组和生长迟缓组,分别对2组早产儿恢复出生体质量时间,恢复至出生体质量后每日增长体质量,喂养奶量达0.15 L.kg-1.d-1时间,出生1周血清总蛋白、球蛋白水平和血清尿素氮水平进行比较,采用SPSS13.0软件进行统计学分析。结果生长正常组早产儿较生长迟缓组早产儿恢复至出生体质量所需时间短(t=-13.83,P<0.01),恢复出生体质量后每日体质量增长量快(t=6.30,P<0.01),奶量满足生理需要所需时间短(t=-11.79,P<0.01),出生1周血清总蛋白水平、球蛋白水平均明显升高(t=8.23,P<0.01;t=9.54,P<0.05)。2组新生儿血清尿素氮水平比较差异无统计学意义(t=-1.94,P>0.05)。结论早产儿易发生宫外生长迟缓。宫外生长迟缓对早产儿影响大,应加强对早产儿生后营养的补充,以减少宫外生长迟缓的发生。
Objective To study the nutrition status of premature infants in the early postnatal stage. Methods According to the physical development standard, the premature neonates for treatment in our NICU from Jun. 2007 to Jun. 2009 were enrolled and divided into normal growth group and extrauterine growth restriction（EUGR） group. The nutrition status of these premature neonates were evaluated respectively. SPSS 13.0 software was used to analyze the data. Results Compared with EUGR group,the durations of regaining birth weight were shorter in normal growth group （ t = - 13.83, P 〈 0.01 ）. After regaining birth weight, premature neonates in normal growth group showed higher growth rate than that in EUGR group （ t = 6.30, P 〈 0. 01 ）. The durations of meeting physiological need milk was shorter in normal growth group than that in EUGR group（t = - 11.79,P 〈 0.01 ）. The levels of total serum proteins and globulin which were measured 1 week after birth were higher in normal growth group than those in EUGR group（ t = 8.23 ,P 〈 0.01 ;t = 9.54 ,P 〈 0.05 ）. The levels of serum urea nitrogen had no difference between the normal growth group and the EUGR group （t = - 1.94,P 〉 0.05）. Conclusions Premature neonates are prone to en- counter extrauterine growth retardation. Extrauterine growth retardation had great impact on premature neonates. Premature neonates should be strengthened with nutrition supplement in order to reduce the incidence of extrauterine growth retardation.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2010年第14期1070-1071,共2页
Journal of Applied Clinical Pediatrics
关键词
营养
宫外生长迟缓
婴儿
早产
nutrition status
extrauterine growth restriction
infant, premature
