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目的:对极低出生体重儿早期静脉营养的耐受情况进行分析,并对其临床疗效做出评价。方法:从2011年7月至2013年5月中在我院接受治疗的极低出生体重儿中选取40例作为研究对象,采用随机数据表法将所有患儿分为实验组和对照组,比较两组患儿疗效和并发症情况。结果:两组患儿碳酸氢盐、血肌酐、尿素氮及血清胆红素等比较,p>0.05,无统计学意义。但是两组平均静脉血糖比较,虽都在正常范围,但对照组明显低于实验组,P<0.05,具有统计学意义。1周后实验组患儿体质量仅降低7.2%,明显低于对照组,p<0.05,具有统计学意义,而实验组患儿恢复出生体重时间和恢复完全胃肠道营养时间较对照组明显短,两组比较,p<0.05,具有统计学意义。两组并发症发生情况比较,p>0.05,无统计学意义。结论:极低出生体重儿不仅可以耐受早期足量的静脉营养,还可提高临床疗效。
Objective: To analyze the tolerance of early intravenous nutrition of very low birth weight infants and to evaluate its clinical efficacy. Methods: From July 2011 to May 2013, 40 children with very low birth weight who were treated in our hospital were selected as the research object. All children were divided into experimental group and control group by random data table Two groups of children efficacy and complications. Results: The bicarbonate, serum creatinine, blood urea nitrogen, serum bilirubin and other comparisons of two groups had no statistical significance (p> 0.05). However, the two groups average venous blood glucose, although both in the normal range, but the control group was significantly lower than the experimental group, P <0.05, with statistical significance. After 1 week, the body weight of the experimental group decreased by only 7.2%, which was significantly lower than that of the control group (p <0.05), while the experimental group had significantly longer recovery time and complete gastrointestinal nutrition than the control group Short, the two groups, p <0.05, with statistical significance. The incidence of complications between the two groups, p> 0.05, without statistical significance. CONCLUSIONS: Very low birth weight infants not only tolerate early enough parenteral nutrition but also improve clinical efficacy.