CAJ | 학술논문

目的：探讨极低出生体重儿早期足量静脉营养的效果。方法：选择我院儿科2008年1月至2011年12月收治的极低出生体重儿82例，随机分为2组。实验组45例，对照组37例，实验组予早期足量静脉养方案，对照组予传统的静脉营养方案。记录两组患儿恢复至出生体重时间、平均每日体重增长情况、达足量肠道喂养时间、住院时间、及相关合并症的发生率，对记录数据进行统计学分析。结果：与对照组相比，实验组恢复至出生体重的时间、达足量喂养时间、住院时间短，平均每日体重的增长较多，差异有统计学意义；两组间均无静脉炎、血栓形成、高血脂、氮质血症及坏死性小肠结肠炎的发生。结论：对极低出生体重儿应用早期足量静脉营养，体重增长快，达全胃肠喂养时间及住院时间缩短，且相关并发症的发生没有增加。
목적：탐토겁저출생체중인조기족량정맥영양적효과。방법：선택아원인과2008년1월지2011년12월수치적겁저출생체중인82례，수궤분위2조。실험조45례，대조조37례，실험조여조기족량정맥양방안，대조조여전통적정맥영양방안。기록량조환인회복지출생체중시간、평균매일체중증장정황、체족량장도위양시간、주원시간、급상관합병증적발생솔，대기록수거진행통계학분석。결과：여대조조상비，실험조회복지출생체중적시간、체족량위양시간、주원시간단，평균매일체중적증장교다，차이유통계학의의；량조간균무정맥염、혈전형성、고혈지、담질혈증급배사성소장결장염적발생。결론：대겁저출생체중인응용조기족량정맥영양，체중증장쾌，체전위장위양시간급주원시간축단，차상관병발증적발생몰유증가。
ObjectiveTo investigate the treatment effect of early sufficient vein nutrition in very low birth weight infants (VLBWI). Method 82 cases of the VLBWI in our Hospital from Jul. 2008 to Dec. 2011 were selected and randomly divided into two groups. The 45 cases in experimental group were treated with the method of early sufficient vein nutrition, while 37 cases in the control group were treated with the method of classic peripheral vein nutrition. Record the time of regaining the birth weight, the time of hospitalization, and the time required for total gastroenteric nutrition, the daily increase of the body weight in the two groups. The incidence rate of complications were observed and the statistical analysis was done. ResultCam-pared with the control group, the time of regaining birth weight, the time of hospitalization,and the time required for total gastro-enteric nutrition, and the average daily increase of body weight was higher, the difference was statistically significant. The two groups didn’t have phlebitis, thrombosis, hyperlipidemia, azotemia,necrotizing enterocolitis. ConclusionTo the VLBWI, early sufficient vein nutrition can promote the increase of body weight, and the time of hospitalization, the time required for total gas-troenteric nutrition were shorter. The complications were not increased.