摘要
目的:探讨极低体重儿自生后第1天开始对静脉营养(PN)的耐受性。方法:37例极低体重儿分成即刻组(20例)和对照组(17例),即刻组自生后第1天起用全静脉营养(TPN),对照组自生后第3～4天开始用TPN,病情好转(生后3～5d)后开始经口微量喂养,渐停静脉营养。结果:即刻组存活18例,16例生后1周无生理性体重下降,生后4～10d每天增重28～42g,平均增重(35.18±6.91)g,平均住院(21.7±11.6)d;对照组存活13例,6例生后第1周无生理性体重下降,生后5～11d每天增重15～30g,平均增重(23.15±7.68)g,平均住院(31.9±15.8)d,两组比较有统计学意义(P<0.05)。结论:极低体重儿早期可耐受少量TPN,及早经口微量喂养效果好。
Objective:To observe the tolerence of parenteral nutrition (PN)in very low birth weight infants from the first day after birth.Methods :Thirty-seven very low birth weight infants were di-vided into two groups:immediate group(20cases)and control group(17cases).The imnediate group received total parenteral nutrition(TPN)from the first day after birth,while the control group received TPN from3rd or 4th day.When the condition of the infants was better(3rd～5th day of life),oral feeding was sup-plemented gradually,and TPN was decreased.Results:In the immediate group18infants survived and there was no body loss in16infants in the first week after birth.Weight increased subsequently from4to10days after birth.(mean of 7d),and weight gain was28～42g every day(mean of 35.18g±6.91g).The mean preiod of hospitalization was(21.7±11.6)d.In the control group13infants survived and there was no weight loss in6infants in the first week after birth.Weight incveased subsequently from5to11days(mean of 8d)and weight gain was15～30g every day(mean of 23.15g±7.68g).The average period of hos-pitalization was(31.9±15.8)d.There was significant difference between the two groups(P<0.05).Conclu-sion:Very low birth weight infants could tolerate small volume of TPN on the first day of life and an early combination of PN and small amount of oral feeding is effective.
出处
《山东大学学报（医学版）》
CAS
2002年第6期545-547,共3页
Journal of Shandong University:Health Sciences
