部分胃肠外营养在早产儿中的应用  

Application of Partial Parenteral Nutrition for Preterm Infants

作　　者：周瑞[1] 丁周志[1] 沈怀云[1] 陈贞祥[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院儿科,233004

出　　处：《实用全科医学》2007年第3期205-206,共2页Applied Journal Of General Practice

摘　　要：目的探讨部分胃肠外营养(partial parenteral nutrition,PPN)在早产儿临床应用中的价值。方法将45例早产儿随机分为两组,治疗组24例,在患儿入院后2～3d内,排除禁忌症后即采用PPN;对照组21例,为同期入院的患儿,按照早产儿的综合性治疗措施处理。两组患儿在治疗的同时尽量早开奶,通过胃肠道进食,尽可能增加喂养奶量。于治疗第3天和第7天分别比较两组患儿的体重和血清前清蛋白(prealbumin,PA)。结果治疗组患儿第3天血清PA水平较对照组增加明显;第7天,治疗组患儿的体重增长和血清PA水平均较对照组明显增加,差异有统计学意义。结论早产儿早期外周PPN可以使患儿获得更多营养支持,并可较早增加体重,改善预后。Objective To explore the role of partial parenteral nutrition in preterm infants. Methods Forty-five preterm infants were divided randomly into two groups. Treatment Group, 24 cases were treated with PPN and Comparison Group, 21 cases were treated with routine therapy. All the patients were fed through gastrointestines. The body weights and the serum specimens of total 45 preterm infants were measured for the level of prealbumin when all the infants were been in hospital for 3 and 7 days. Results The mean levels of prealbumin in the treatment group were higher significantly than that of the control group after treatment of 3 and 7 days （P 〈0.05）. The mean weights of control group were lower significantly than the other Group in 7th day. Conclusions The way of partial parenteral nutrition in preterm infants is very important to the body weight gain and the mean level of the prealbumin.

关 键 词：早产儿 部分胃肠外营养 前清蛋白 

分 类 号：R722.6[医药卫生—儿科] R723[医药卫生—临床医学]