CAJ | 학술논문

目的：探讨出院后科学的营养管理对新生儿肠道术后生长速度的影响。方法通过营养门诊对113例肠道手术后患儿进行出院后营养喂养指导，统计每月生长速度（体质量、身长和头围），对照正常参考值，分析落后的体格何时出现生长加速。结果新生儿肠道手术后1月时出现体格增长速度低于正常参考值，以男性为著（体质量P＝0．000；身长P＝0．041；头围P＝0．010）。生长加速出现在术后2～3月，男性出现身长的生长加速（月增长值[（4．53±1．22） cm比（3．1±0．4） cm， P＝0．013]，女性出现体质量[（1．51±0．76） kg比（0．83±0．39） kg， P＝0．028]和头围[（2．50±0．93） cm比（1．2±0．7） cm， P＝0．021]的生长加速。结论科学的出院后营养管理有助新生儿术后体格生长加速，术后2～3月是生长加速的关键时期。
목적：탐토출원후과학적영양관리대신생인장도술후생장속도적영향。방법통과영양문진대113례장도수술후환인진행출원후영양위양지도，통계매월생장속도（체질량、신장화두위），대조정상삼고치，분석락후적체격하시출현생장가속。결과신생인장도수술후1월시출현체격증장속도저우정상삼고치，이남성위저（체질량P＝0．000；신장P＝0．041；두위P＝0．010）。생장가속출현재술후2～3월，남성출현신장적생장가속（월증장치[（4．53±1．22） cm비（3．1±0．4） cm， P＝0．013]，녀성출현체질량[（1．51±0．76） kg비（0．83±0．39） kg， P＝0．028]화두위[（2．50±0．93） cm비（1．2±0．7） cm， P＝0．021]적생장가속。결론과학적출원후영양관리유조신생인술후체격생장가속，술후2～3월시생장가속적관건시기。
Objective To examine the effect of post-discharge nutrition management on the growth speed of neonates after bowel surgery. Methods Nutrition feeding guidance was carried out in 133 post-discharge infants after surgery through nutrition clinic. The growth speed was detected every month and compared with the normal standards, then the time to accelerate growth speed was evaluated. Results The growth speed of neonates in the first postoperative month was lower than the normal standards, especially in males (weight P=0.000; length P=0.041; circumference P=0.010). While during two to three months, male infants showed acceleration in length growth speed [(4.53±1.22) cm vs. (3.1 ±0.4) cm, P=0.013], and female infants showed acceleration in weight [(1.51 ±0.76) kg vs. (0.83±0.39) kg, P=0.028] and circumference growth speed[(2.50±0.93) cm vs. (1.2±0.7) cm, P=0.021]. Conclusions Scientific post-discharge nutrition management helps neonates grow faster after bowl surgery. The two to three months after operation is the key period of growth speed acceleration.