中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
26期
82-84
,共3页
早产儿%肠外营养%大剂量氨基酸
早產兒%腸外營養%大劑量氨基痠
조산인%장외영양%대제량안기산
Premature infants%Parenteral nutrition%Large dose of amino acids
目的：分析早期输注大剂量氨基酸对早产儿营养状态的影响。方法将本院收治的60例接受肠道外营养治疗的早产儿分为观察组(30例)和对照组(30例)。观察组行大剂量氨基酸静脉输注，对照组行小剂量氨基酸静脉输注，同时两组均在接受氨基酸肠外营养方案的基础上辅助行“全合一”静脉营养方案。于早产儿出生第14天，计算统计两组的相关生长发育指标和营养及代谢指标。结果出生后第14天，观察组早产儿体质量下降幅度小于对照组(P<0.05)，体质量增加速度、头围增加速度、身长增加速度均大于对照组(P<0.05)，且肠内营养能量达418.4 kJ/(kg·d)的天数、恢复出生体重天数均短于对照组(P<0.05)。出生第14天，观察组早产儿平均血清前清蛋白(pre-Alb)水平高于对照组(P<0.05)，而两组的血清肌酐(Cr)、直接胆红素(DBiL)及钙指标水平比较，差异无统计学意义(P>0.05)。结论早期输注大剂量氨基酸有助于改善早产儿的营养状况，促进早产儿生长，且对机体代谢影响小，安全性好。
目的：分析早期輸註大劑量氨基痠對早產兒營養狀態的影響。方法將本院收治的60例接受腸道外營養治療的早產兒分為觀察組(30例)和對照組(30例)。觀察組行大劑量氨基痠靜脈輸註，對照組行小劑量氨基痠靜脈輸註，同時兩組均在接受氨基痠腸外營養方案的基礎上輔助行“全閤一”靜脈營養方案。于早產兒齣生第14天，計算統計兩組的相關生長髮育指標和營養及代謝指標。結果齣生後第14天，觀察組早產兒體質量下降幅度小于對照組(P<0.05)，體質量增加速度、頭圍增加速度、身長增加速度均大于對照組(P<0.05)，且腸內營養能量達418.4 kJ/(kg·d)的天數、恢複齣生體重天數均短于對照組(P<0.05)。齣生第14天，觀察組早產兒平均血清前清蛋白(pre-Alb)水平高于對照組(P<0.05)，而兩組的血清肌酐(Cr)、直接膽紅素(DBiL)及鈣指標水平比較，差異無統計學意義(P>0.05)。結論早期輸註大劑量氨基痠有助于改善早產兒的營養狀況，促進早產兒生長，且對機體代謝影響小，安全性好。
목적：분석조기수주대제량안기산대조산인영양상태적영향。방법장본원수치적60례접수장도외영양치료적조산인분위관찰조(30례)화대조조(30례)。관찰조행대제량안기산정맥수주，대조조행소제량안기산정맥수주，동시량조균재접수안기산장외영양방안적기출상보조행“전합일”정맥영양방안。우조산인출생제14천，계산통계량조적상관생장발육지표화영양급대사지표。결과출생후제14천，관찰조조산인체질량하강폭도소우대조조(P<0.05)，체질량증가속도、두위증가속도、신장증가속도균대우대조조(P<0.05)，차장내영양능량체418.4 kJ/(kg·d)적천수、회복출생체중천수균단우대조조(P<0.05)。출생제14천，관찰조조산인평균혈청전청단백(pre-Alb)수평고우대조조(P<0.05)，이량조적혈청기항(Cr)、직접담홍소(DBiL)급개지표수평비교，차이무통계학의의(P>0.05)。결론조기수주대제량안기산유조우개선조산인적영양상황，촉진조산인생장，차대궤체대사영향소，안전성호。
Objective To analyze the influence of large dose of amino acid early infusion on nutritional status in prema-ture infants. Methods 60 premature infants admitted to our hospital for treatment of parenteral nutrition were divided into observation group (30 cases) and control group (30 cases).Large dose of amino acid infusion was given to the obser-vation group,small dose of amino acid infusion was taken to the control group,at the same time,two groups of preterm infants were given with"all in one"intravenous nutrition scheme based on an amino acid parenteral nutrition solutions. In section 14 days,the growth and development indicators and indicators of nutrition and metabolism of two groups were calculationed and statisticsed. Results 14 days after birth,the premature infants body weight decreasing of observation group was less than that of the control group (P<0.05),increasing of body weight,head circumference,height velocity were higher than those in the control group (P<0.05),and the days of enteral nutrition energy up to 418.4 kJ/(kg·d),the days of birth weight recovery were shorter than those of the control group (P<0.05).Born in 14 days,the mean pre-Alb levels of the observation group were higher than those of the control group (P<0.05),but the Cr,DBiL and calcium levels had no sig-nificant differences (P>0.05). Conclusion Large dose of amino acids early infusion can improve the nutritional status of premature infants,can promote the growth of premature infants,and the influence to metabolism is small,has good safety.
