早产儿肠外营养和肠内营养的疗效研究(1)
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[摘要] 目的：对比研究肠内营养和肠外营养治疗早产低出生体重儿的疗效。方法：将72例早产低体重儿随机分为两组，每组36例，在积极治疗原发病的基础上，观察组治予胃肠外营养(parenteral nutrition，PN)，对照组用胃肠内营养支持治疗，观察两组患儿的平均每日体重增加量、住院时间以及治愈率等指标。结果：观察组平均每日体重增加量为(15.48±5.29) g，显著高于对照组的(11.31±4.90) g (P<0.05)；住院时间观察组为(18.58±7.26) d明显短于对照组的(24.38±6.75) d (P<0.05)；治愈率观察组(93.33%)高于对照组(73.33%)(P<0.05)，两组患儿均无明显不良反应出现。结论：PN可明显改善早产低体重儿营养状况，缩短住院时间，提高治愈率，且无明显不良反应，安全有效。
[关键词] 早产儿；低出生体重儿；肠外营养；肠内营养；疗效
[中图分类号] R722 [文献标识码] A [文章编号] 1674-4721(2011)11(c)-027-02
The efficacy study of parenteral nutrition and enteral nutrition in premature infants
HUANG Guori
Department of Pediatrics, the Third Affiliated Hospital of Guangxi Medical University, Nanning 530031, China
[Abstract] Objective: To compare the clinical effect of the enteral nutrition and parenteral nutrition in the treatment of preterm low birth weight infants. Methods: 72 cases premature and low birth weight infants were randomly divided into two groups, each group of 36 cases. Based on the active treatment of the original diseases, observation group received parenteral nutrition (PN), the control group received enteral nutrition support treatment. Two groups were observed in children with average daily addition of weight, duration of hospitalization and cure rate index. Results: The observation group average daily weight gain was (15.48±5.29) g, significantly higher than that in the control group (11.31±4.90) g (P<0.05); hospitalization time observation group was (18.58±7.26) d, significantly shorter than that in control group (24.38±6.75) d (P<0.05); the cure rate of the observation group (93.33%) was higher than that of control group (73.33%) (P<0.05). Two groups of patients were without obvious adverse reaction. Conclusion: PN can obviously improve the low birth weight infant nutritional status, shorten the hospitalization time, improve the cure rate, with no obvious adverse reaction. It is safe and effective.
[Key words] Premature infants; Low birth weight infants; Parenteral nutrition; Enteral nutrition; Clinical efficacy
胃肠外营养(parenteral nutrition ......
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