[西班牙马德里一家三级医院过去15年儿科肠外营养的发展历程]

[Evolution of paediatric parenteral nutrition over the last 15 years in a tertiary hospital in Madrid (Spain)].

作者信息

Izquierdo García E, Fernández Ferreiro A, Gomis Muñoz P, Herreros de Tejada A, Moreno Villares J M

机构信息

Servicio de Farmacia, Hospital Universitario 12 de Octubre, Madrid, España.

出版信息

Nutr Hosp. 2010 Nov-Dec;25(6):1057-60.

PMID:21519783

Abstract

OBJECTIVE

To analyze the use of paediatric parenteral nutrition (PN) in a tertiary level hospital in Spain (1994-2008).

MATERIALS AND METHODS

The charts from infants and children receiving NP in 2008 were reviewed. Data were compared with those in 1994 and 2002.

RESULTS

120 patients received PN, 78 and 71 corresponding to 1.6%, 1.3% and 1.0% of total admissions in 2008, 2002 and 1994 respectively. When composition of PN was compared in the first day we found significant differences in energy and lipids; but not in volume, carbohydrate, or amino acid composition. Gastrointestinal surgery was the most common indication. Mean length was 11.0 ± 9.8 days (2008) to 15.2 ± 14.8 (1994) (p < 0.05). Complications were present in 24.8 patients (2008), 10.8% (2002) and 16.9 (1994).

CONCLUSIONS

PN use increased along the study period, although mean length decreased. There were more complications in 2008 than in previous years.

摘要

目的

分析西班牙一家三级医院（1994 - 2008年）儿科肠外营养（PN）的使用情况。

材料与方法

回顾了2008年接受肠外营养的婴幼儿和儿童的病历。将数据与1994年和2002年的数据进行比较。

结果

120例患者接受了肠外营养，2008年、2002年和1994年分别占总住院人数的1.6%、1.3%和1.0%，对应患者数分别为78例和71例。在第一天比较肠外营养的成分时，我们发现能量和脂质存在显著差异；但在容量、碳水化合物或氨基酸成分方面没有差异。胃肠手术是最常见的适应证。平均使用时长从1994年的15.2±14.8天降至2008年的11.0±9.8天（p < 0.05）。2008年有24.8%的患者出现并发症（2002年为10.8%，1994年为16.9%）。