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目的探讨早中期早产儿胃肠内外营养状况对其体格发育的影响。方法收集2004年1月-2009年6月在本院儿科新生儿重症监护室住院且经胃肠内外营养治疗的早中期早产儿31例(胎龄28～33+6周),观察其出生时、出生1周、2周、4周时的体质量和矫正体质量,以及出生身长、头围和矫正身长、头围的变化。结果 1.相关分析显示,开始胃肠内喂养时间与矫正身长的相关系数为-0.599(P<0.05)。2.氨基酸开始时间、脂肪乳开始时间与恢复出生体质量日龄的相关系数分别为0.416、0.559(Pa<0.05)。3.氨基酸持续时间与出生1周、2周、4周时体质量的相关系数分别为-0.634、-0.602、-0.591(Pa<0.05);脂肪乳持续时间与出生1周、2周、4周时体质量的相关系数分别为-0.658、-0.640、-0.650(Pa<0.05);脂肪乳持续时间与矫正体质量、矫正身长的相关系数分别为-0.421、-0.492(Pa<0.05)。4.总热卡达标时间与恢复出生体质量后体质量增长速度的相关系数为-0.514(P<0.05)。5.Logistic回归分析显示,影响体质量增长速度的最大危险因素是氨基酸开始时间和脂肪乳开始时间。结论尽早开始胃肠内外营养,缩短胃肠外营养持续时间,有利于早中期早产儿的体格发育。
Objective To investigate the effect of early and mid-term preterm infants gastrointestinal nutritional status on their physical development. Methods Totally 31 early-middle-aged preterm infants (28-33 + 6 weeks gestational age) hospitalized in our Pediatric Neonatal Intensive Care Unit and enrolled in our hospital from January 2004 to June 2009 were enrolled in this study. , Birth 1 week, 2 weeks, 4 weeks of body mass and correction of body weight, as well as birth length, head circumference and correction length, head circumference changes. Correlation analysis showed that the correlation coefficient between the start of gastrointestinal feeding and correction of length was -0.599 (P <0.05). The correlation coefficients between amino acid start time, fat emulsion start time and the day of birth weight restoration were 0.416,0.559 (Pa <0.05). The correlation coefficients between amino acid duration and body weight at 1 week, 2 weeks and 4 weeks after birth were -0.634, -0.602 and -0.591, respectively (P <0.05); the duration of fat emulsion was similar to that of 1 week, 2 weeks, 4 The correlation coefficients of body weight and body weight were -0.658, -0.640 and -0.650 (Pa <0.05), respectively. The correlation coefficients between duration of fat emulsion and corrected body mass and corrected body length were -0.421 and -0.492 (Pa <0.05). The correlation coefficient between the total heat-card compliance time and the body mass growth rate after birth weight restoration was -0.514 (P <0.05). Logistic regression analysis showed that the biggest risk factors affecting body mass growth rate were amino acid start time and fat emulsion start time. Conclusions As soon as possible, the nutrition inside and outside the stomach and intestine is reduced and the duration of parenteral nutrition is shortened, which is in favor of the physical development of the early and middle-aged premature infants.