部分胃肠外营养在早产儿的临床应用  

Clinical Administration of Partial Parenteral Nutrition in Premature Infants

作　　者：杨波[1] 徐心坦[1] 李刚[1] 

机构地区：[1]山东大学临床医学院山东省立医院儿科,济南250021

出　　处：《实用儿科临床杂志》2005年第8期742-744,共3页Journal of Applied Clinical Pediatrics

摘　　要：目的探讨早产儿胃肠外营养对血浆渗透压、血糖、生化及胆红素代谢、免疫功能、生长发育的影响。方法早产儿70例随机分为对照组和治疗组,在胃肠道喂养的基础上治疗组予静脉营养,对照组静滴10%葡萄糖、生理盐水和电解质;对两组进行有关指标监测。结果1.应用静脉营养后早产儿血浆渗透压、血糖、生化与输注前无显著性差异;2.两组黄疸出现时间、持续天数无显著性差异;3.治疗组血浆IgGI、gAI、gM、C3、CD4及CD4/CD8均高于对照组;4.治疗组出生体质量恢复时间、住院天数和体质量增长均优于对照组。结论胃肠外营养对血浆渗透压、生化、血糖及胆红素代谢无影响,胃肠外营养能促进早产儿体质量增长,缩短住院天数和能促进免疫功能。Objective To evaluate the influence of partial parenteral nutrition on serum osmotic pressure, blood glucose,biochemistry, bilirubin metabolism,immune function,growth and development of premature infants. Methods Seventy prenmture infants were randomly divided into control group and study group. On the base of enteral feeding, study group were offered parenteral nutrition, while the control group were supplied 10% glucose, fluid and electrolytes. Simultaneously, relevant indices were measured in 2 groups. Results 1. There were no significant difference in serum osmotic pressure, blood glucose and biochemistry before and after parenteral nutrition. 2. There were no significant difference in emerging and lasting time of jaundice between 2 groups. 3. Serum IgG,IgA, IgM.C3,CD4 and CD4/CD8 in study group were significantly higher than those in control group. 4. In study group the time of hospitalization and birth-weight regain were significantly shorter than those in control group. Conclusions There is no significant influence on serum osmotic pressure, blood glucose, biochenfistry and bilirubin metabolusn during partial parenteral nutrition. Parenteral nutrition may help gain weight, shorten the time of hospitalization, and improve inmmunological function of neonares.

关 键 词：婴儿 早产 胃肠外营养 胆红素 生长和发育 免疫学 

分 类 号：R722.6[医药卫生—儿科]