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目的:探讨肠外营养(PN)联合早期肠内营养(EEN)对早产儿营养状况的影响。方法:将72例早产儿随机分为试验组和对照组,每组36例。两组病儿出生后均给予PN作为基础营养,其中试验组在出生后12h内给予EN支持;对照组在出生后3 d给予EN。监测和记录两组早产儿在出生后第7和第14天体格发育指标(身长、头围、体重)和营养指标(血清清蛋白、前清蛋白)水平的变化,以及两组早产儿达到完全EN的时间。结果:两组早产儿在出生后第7天,各项指标未见统计学差异(P>0.05)。出生后第14天,试验组病儿的多项指标明显优于对照组,试验组达到完全EN的时间明显短于对照组,两组比较有统计学差异(P<0.05)。结论:PN联合EEN能改善早产儿的营养状况。
Objective: To investigate the effect of parenteral nutrition (PN) combined with early enteral nutrition (EEN) on the nutritional status of premature infants. Methods: 72 cases of premature children were randomly divided into experimental group and control group, 36 cases in each group. Both groups were given PN as basic nutrition after birth, and the experimental group was given EN support within 12 hours after birth. The control group was given EN at 3 days after birth. Monitoring and recording the changes of physical development index (body length, head circumference, body weight) and nutrition indexes (serum albumin, prealbumin) in preterm infants on the 7th and the 14th day after birth, as well as the completeness of the two groups of preterm infants EN time. Results: On the 7th day after birth, there was no significant difference between the two groups (P> 0.05). On the 14th day after birth, many indicators of the sick children in the experimental group were significantly better than those in the control group. The time to complete EN in the experimental group was significantly shorter than that in the control group. There was significant difference between the two groups (P <0.05). Conclusion: PN combined with EEN can improve the nutritional status of premature infants.