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为探讨早产儿血浆总蛋白、肌酐和尿素氮变化与饮食及胃肠外营养支持的关系,对我院近3年来收治的126例危重早产儿进行上述指标的动态监测。发现极低体重儿3项指标均值略低于非极低体重儿,但无统计学差异。混合营养组与葡萄糖营养组对比,后组血肌酐随禁食时间延长而逐渐降低,与前组相比具有显著差别,血浆总蛋白和肌酐两组差别不明显。说明在禁食早产儿中,血肌酐是监测营养状况指标之一;因此在肾功能正常情况下,若观察到血肌酐水平明显降低时,应对其营养供给进行估价,保证所供给营养的质量。
In order to investigate the relationship between changes of total protein, creatinine and urea nitrogen in preterm infants and their diet and parenteral nutrition support, 126 critically ill preterm infants admitted to our hospital in recent 3 years were monitored dynamically. Found that very low birth weight children 3 indicators average slightly lower than non-very low birth weight children, but no significant difference. Compared with the glucose nutrition group, the serum creatinine in the latter group gradually decreased as the fasting time increased, which was significantly different from the former group. The difference between the total protein and creatinine in the two groups was insignificant. Description of fasting preterm children, serum creatinine is one of the indicators to monitor nutritional status; therefore, in the case of normal renal function, if the observed serum creatinine levels were significantly reduced, the nutritional supply should be valued to ensure the quality of nutrition provided.