摘要
目的比较肠内与肠外营养在新生儿硬肿症治疗中的作用。方法将120例新生儿硬肿症患儿随机分为鼻饲组和静脉营养组,每组60人。鼻饲组在体温恢复正常(35℃左右)停止静脉营养,早期下胃管鼻饲母乳或牛乳。静脉营养组在恢复自动吃奶前周围静脉营养。新生儿胃管应用一次性小儿头皮静脉针后尾部塑料管自制。下管前先在40～50℃温盐水中预热。结果鼻饲组治愈率91.67%,静脉营养组治愈率93.33%,差异无显著性。患儿恢复自动吃奶及硬肿消失和住院天数,鼻饲组较静脉营养组均明显减少,差异有显著性。结论由于肠外营养代价高,禁忌症和并发症较多,故掌握时机,合理使用肠内营养,有重要的临床价值。自制胃管便于操作,利于观察胃液情况,值得推广。
Objective To evaluate the role of parenteral and enteral nutrition in the treatment of sclerema neonatorum.Methods One hundred and twenty cases of sclerema neonatorum were randomized into nasogastric tube feeding group and parenteral nutrition group,each group had60cases.The tube feeding group neonates discontinunted parenteral nutrition after body temperature returned to normal (T35℃or so)and were early fed with maternal milk or creamery.The parenteral nutrition group were given parenteral nutrition before being able to be on breast.The nasogastric tube,part of avenous catheter,should be heated in40～50℃salt solution before using.Results Recovery rate of tube feeding group was91.67%,parenteral nutrition group93.33%,no significant difference.The time needed to return to breast feed,for sclerema disappearing and the length of hospital stay were significantly shorter in tube feeding group than that in parenteral nutrition group.Conclusions Approp-riate enteral nutrition was of important clinical value,since parenteral nutrition was more expensive,had more prohibition and complications.The tramsparenl venous catheter used as nasogastric feeding tube was easy for us to handle with and could be utilized more widely.
出处
《中国临床营养杂志》
2002年第2期116-118,共3页
Chinese Journal of Clinical Nutrition
