早期微量喂养联合静脉营养在低出生体重儿中的应用

目的：观察早期微量喂养联合静脉营养在低出血体重儿中的应用效果。方法：54例低出生体重儿中24例给予早期微量喂养联合静脉营养，另30例给予早期单纯静脉营养。观察体重变化、需要静脉营养时间、住院时间等，监测血清胆红素、血脂、肾功能改变。结果：早期微量喂养联合静脉营养组低出生体重儿静脉营养时间和住院时间明显缩短，体重明显增加。出生7天血清胆红素、肌酐均低于单纯静脉营养组，而14天两组血清胆红素、血脂、肾功能指标均有显著差异。结论：早期微量喂养联合静脉营养可缩短病程，明显增加体重，使低出生体重儿尽早适应胃肠喂养，同时对肝、肾功能的影响较小。

Combined use of early micro-feeding and intravenous nutrition in low birth weig ht infants

Objectives:To observe the role of combined use of early micro feeding and intravenous nutrition in low birth weight(LBW) infants. Methods:Fifty four cases of LBW infants were randomly divided into two groups.Early micro feeding and intravenous nutrition were given in one group(EF & IN group) and another group(Control group) was given only with intravenous nutrition.The times of intravenous nutritional support requirement and hospital stay,the increase in body weight and the changes in serum bilirubin,lipids and creatinine were compared between the two groups. Results:The times of intravenous nutritional support and hospital stay were shortened and the body weight was increased in EF & IN group. The levels of serum bilirubin and creatinine and the serial concentrations of lipids on the day 7 and 14 after birth were significantly lower than those in control group. Conclusions:The combination of early,micro feeding and intravenous nutrition is superior to the only use of intravenous nutrition in shortrenning the critical course,increasing the body weight,beginning the oral intake and decreasing the possible injuries from total parenteral nutrition.