Clinical efficacy of two different parenteral nutrition (PN) method for premature and low birth weight infants
10.3760/cma.j.issn.1008-6706.2014.09.030
- VernacularTitle:不同肠外营养方法对早产低出生体质量儿的临床效果
- Author:
Xiaoqin XU
- Publication Type:Journal Article
- Keywords:
Parenteral Nutrition;
Total;
Body Mass Index;
Infant;
Premature
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(9):1342-1343,1344
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and discuss clinical effect of early parenteral nutrition ( PN) born within 24h and late PN within 72h on premature and low birth weight infants .Methods 68 admitted cases were divided into treatment group(n=35)and control group(n=33)with random number table.Treatment group was infused of amino acids(initial value 1g/kg· d)and fat emulsion(initial value 0.5-1.0g/kg· d)born within 24h,control group was in-fused of amino acids(initial value 0.5g/kg· d)and fat emulsion(initial value 0.5-1.0g/kg· d)born after 72h,dur-ing which breast feeding was arranged in terms of suitable situation ,and body weight ,liver and kidney function ,blood lipid,blood glucose,complications were noted and compared between two groups born after 7d.Results (1)The pre-term children born after 7d of physicochemical parameters were significantly improved after birth ( the treatment group t=2.169,5.963,11.773,5.920,5.870,8.998,2.076,the control group t=1.755,2.610,9.255,4.697,4.062, 7.489,2.042,all P<0.05).(2)PN time of treatment group was 8-17d,9-20d in the control group,there was signifi-cant difference between the two groups (t=1.458,P>0.05).Two groups of children in hyperlipidemia hyperbilirubi-nemia,cholestasis,secondary infection,the incidence of complications was no significant difference (χ2 =0.215, 0.235,0.173,0.190,all P>0.05).Conclusion Under the premise of initial value of amino acid ,fat emulsion were 1g/kg· d,0.5-1.0g/kg· d,early PN born within 24h compared with late PN born after 72h can better improve nutri-tional status of premature and low birth weight infants ,and clinical safety of two methods are much similar;for prema-ture and low birth weight infants ,amino acid and fat emulsion may be considered to intake born within 24h.
