广州医药 ›› 2020, Vol. 51 ›› Issue (1): 39-41.DOI: 10.3969/j.issn.1000-8535.2020.01.009

• 论著 • 上一篇    下一篇

某院中期早产儿肠外营养及体格发育状况分析

植自勤, 吴劲东, 林泉   

  1. 佛山市三水区妇幼保健院(佛山 528100)
  • 收稿日期:2019-08-16 出版日期:2020-01-20 发布日期:2021-11-28
  • 基金资助:
    佛山市医学类科技攻关项目(2017AB001185)

Analysis of parenteral nutrition and physical development of premature infants

ZHI Ziqin, WU Jindong, LIN Quan   

  1. Maternal and Child Health Hospital, Sanshui District, Foshan 528100,China
  • Received:2019-08-16 Online:2020-01-20 Published:2021-11-28

摘要: 目的 分析某院中期早产儿体格发育及肠外营养状况,为中期早产儿制定合理的肠外营养方案提供参考。方法 收集某院2017年10月—2018年12月50例(32~33+6)周早产儿的病例进行回顾分析。结果 50例患儿出生平均体质量、身长、头围各为(1.84±0.24) kg、(42.92±2.16) cm、(29.77±1.20) cm,生后 1周和生后2周的平均体质量、身长、头围分别为(1.83±0.24) kg、(43.28±1.95) cm、(29.97±1.32) cm和(2.07±0.23) kg、(43.91±1.79) cm、(30.62±1.13) cm。营养素的起始剂量各为:氨基酸(1.11±0.37)g·kg-1·d -1,脂肪乳(0.78±0.22)g·kg-1·d -1,葡萄糖(5.86±1.51)mg·kg-1·min-1,肠外营养平均天数(22.8±6.46)天,体质量平均下降幅度(7.22±3.82)%,恢复至出生体质量平均天数(8.3±2.72)天。结论 该院中期早产儿肠外营养设计需完善,以控制生理性体质量下降程度及持续时间,更适于体格发育。

关键词: 中期早产儿, 体格发育, 肠外营养

Abstract: Objective To analyze the physical development and parenteral nutrition status of preterm infant in a hospital in order to provide reference for the formulation of reasonable parenteral nutrition treatment plan for medium preterm infants. Methods The clinical data of 50 preterm infants aged 32~33+6 weeks from October 2017 to December 2018 were collected and analyzed retrospectively. Results The average birth weight, body length and head circumference of the child patients were (1.84±0.24) kg, (42.92 ±2.16) cm, (29.77±1.20) cm respectively. After one week and After two weeks,the average birth weight, body length and head circumference were(1.83±0.24) kg, (43.28±1.95) cm, (29.97±1.32) cm respectively and (2.07±0.23) kg, (43.91±1.79) cm, (30.62±1.13) cm respectively. The initial dose of amino acid(1.11±0.37)g·kg-1·d-1, fat emulsion(0.78±0.22)g·kg-1·d-1, glucose(5.86±1.51)mg·kg-1·min-1. The average days of parenteral nutrition treatment were(22.8±6.46)d, the average weight loss was(7.22±3.82)% and the average days of recovery to birth weight were (8.3±2.72)d. Conclusion The design of parenteral nutrition for preterm infants still needs to be improved in order to control the degree and duration of physiological weight loss of preterm infants in the mid-term, which is conducive to the physical development of preterm infants in the mid-term.

Key words: Mid-term premature infants, Physical development, Parenteral nutrition