摘要
目的探讨极低出生体质量儿(VLBWI)住院期间营养及体质量增长状况。方法对1998年1月至2007年12月本院新生儿重症监护病房收治的VLBWI进行回顾性分析。结果2004年1月1日以前入院者为A组,以后入院者为B组,共151例VLBW1入选,A组54例,B组97例。第1、2周B组总热量、胃肠内热量、多种氨基酸摄入量和液体入量(包括口服和静脉)均高于A组,差异均有统计学意义(P<0.05);第3周B组体质量高于A组,差异有统计学意义(P<0.05)。A、B两组均数比较发现,开奶时间分别为(63.3±23.5)h和(27.4±14.0)h,差异有统计学意义(P<0.01);恢复出生体质量日龄、开始应用胃肠外营养日龄、是否合并败血症和应用胃肠外营养人数占本组总人数比例方面差异有统计学意义。多元逐步回归分析显示,胎龄、开奶时间和第1周胃肠内热量是影响体质量增长的相关因素(P均<0.05)。结论VLBWI在生后应保证足够的热量、多种氨基酸摄入量和液体入量,对于有严重并发症的患儿更应加强营养的补充,尽早胃肠喂养,积极合理应用胃肠外营养。
Objective To investigate the status of nutrition and weight gain of very low birth weight infant （VLBWI）. Methods All of 151 cases of VLBW1 admitted in NICU of author＇s hospital from January 1998 to December 2007 were included in this study and their clinical data were analyzed retrospectively. Based on the date of admission, 54 of them admitted before January 2004 were divided into group A and 97 admitted after January 2004 were divided into group B. Results The total caloric intake, intestinal energy, multi-amino acids and fluid intake were significantly higher in group B than that in group A （ P 〈 0. 05 ） in the first and second weeks after birth ; the weight of infants in group B was significantly higher that in group A in the third week after birth. The age of starting enteral feeding of infants in group A was （63.3 ±23.5） h and was （27.4 ±14.0） h in group B by comparing the medians of both groups, the difference was statistically significant （ P 〈 0. 01 ） ; the ages of regaining birth weight, beginning parenteral nutrition, complicated with sepsis and the percentage of using parenteral nutrition of infants showed significant differences between two groups. The result of Logistic regression showed the affecting factors of weight gaining of infants were gestational age, starting time of feeding and intestinal energy. Conclusion This study showed that sufficient calorie intake, multi-amino acids intake and fluid intake should be guaranteed in VLBWI, especially for those with severe complications. It is very important to feed VLBWI as earlier as possible and parenteral nutrition should be given as supplements to enteral feeding.
出处
《中国新生儿科杂志》
CAS
2009年第2期93-96,共4页
Chinese Journal of Neonatology
关键词
婴儿
极低出生体重
体重增长
回顾性研究
Infant, very low birth weight
Weight gain
Retrospective studies
