早期肠外输注氨基酸
Early parenteral feeding of amino acids.
作者信息
Saini J, MacMahon P, Morgan J B, Kovar I Z
机构信息
Department of Child Health, Charing Cross and Westminster Medical School, London.
出版信息
Arch Dis Child. 1989 Oct;64(10 Spec No):1362-6. doi: 10.1136/adc.64.10_spec_no.1362.
Abstract
Serial 24 hour balance studies of nitrogen and energy were carried out over 10 days in two groups of ventilator dependent preterm infants, of comparable weight and gestational age. In one group (n = 10) a parenteral amino acid source (Vamin 9) was started within 24 hours of birth, and in the other group (n = 11) it was not started until 72 hours. The feeding protocol was otherwise identical. The nitrogen intake (286 compared with 21 mg/kg/day), energy intake (188 compared with 151 kJ), and nitrogen retention (120 compared with -133 mg/kg/day), were all significantly higher during the first three days of life in the group in which the amino acid solution was started early. There were no differences by 7-10 days. The early introduction of amino acids improves the early nutritional state of sick preterm infants.
摘要
对两组体重和胎龄相近、依赖呼吸机的早产儿进行了为期10天的连续24小时氮和能量平衡研究。一组（n = 10）在出生后24小时内开始使用肠外氨基酸源（凡命9），另一组（n = 11）直到72小时才开始使用。其他喂养方案相同。在生命的头三天，早期开始使用氨基酸溶液的组的氮摄入量（分别为286和21毫克/千克/天）、能量摄入量（分别为188和151千焦）和氮潴留量（分别为120和 -133毫克/千克/天）均显著更高。到7 - 10天时没有差异。早期引入氨基酸可改善患病早产儿的早期营养状况。
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