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经皮涂抹油脂与预防早产儿必需脂肪酸缺乏症

Transcutaneous application of oil and prevention of essential fatty acid deficiency in preterm infants.

作者信息

Lee E J, Gibson R A, Simmer K

机构信息

Department of Paediatrics and Child Health, Flinders Medical Centre, Bedford Park, South Australia.

出版信息

Arch Dis Child. 1993 Jan;68(1 Spec No):27-8. doi: 10.1136/adc.68.1_spec_no.27.

DOI:10.1136/adc.68.1_spec_no.27
PMID:8439192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1029161/
Abstract

The topical application of vegetable oil was assessed as an alternative means of providing essential fatty acids (EFA) to parentally fed preterm infants who were not receiving lipid. Three infant pairs ranging in gestational age from 26-32 weeks were studied. Safflower oil or safflower oil esters (1 g linoleic acid/kg/day) were applied to available areas daily. All infants rapidly developed biochemical EFA deficiency. The plasma fatty acid profiles were similar in infants with or without topical oil, and all returned to normal once parenteral lipid was introduced. We found no evidence to suggest that the transdermal route is of use in the nutritional management of preterm infants.

摘要

对于未接受脂质补充的经肠道外喂养的早产儿,评估了局部涂抹植物油作为提供必需脂肪酸(EFA)的一种替代方法。研究了3对胎龄在26 - 32周的婴儿。每天将红花油或红花油酯(1克亚油酸/千克/天)涂抹于可涂抹部位。所有婴儿均迅速出现生化性必需脂肪酸缺乏。涂抹或未涂抹局部用油的婴儿血浆脂肪酸谱相似,且一旦引入肠道外脂质,所有婴儿的血浆脂肪酸谱均恢复正常。我们没有发现证据表明经皮途径可用于早产儿的营养管理。

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本文引用的文献

1
Decreased oxygenation and hyperlipemia during intravenous fat infusions in premature infants.早产儿静脉输注脂肪乳剂期间的氧合降低和高脂血症。
Pediatrics. 1980 Jul;66(1):26-30.
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Barrier properties of the newborn infant's skin.新生儿皮肤的屏障特性。
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Plasma and erythrocyte essential fatty acids during total parenteral nutrition in infants: effects of a cutaneous supply.婴儿全胃肠外营养期间血浆和红细胞必需脂肪酸:经皮供给的影响
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Fatty acid patterns in parenterally fed premature and term infants: changes induced by intralipid and sunflower seed oil.
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7
Factors associated with chronic lung disease in preterm infants.早产儿慢性肺病的相关因素。
Arch Dis Child. 1991 Jul;66(7 Spec No):776-9. doi: 10.1136/adc.66.7_spec_no.776.
8
Correction of essential fatty acid deficiency in newborn infants by cutaneous application of sunflower-seed oil.通过皮肤涂抹葵花籽油纠正新生儿必需脂肪酸缺乏症。
Pediatrics. 1976 Nov;58(5):650-4.
9
Lipid metabolism in the neonate. II. The effect of Intralipid on bilirubin binding in vitro and in vivo.新生儿的脂质代谢。II. 英脱利匹特在体外和体内对胆红素结合的影响。
J Pediatr. 1976 Feb;88(2):279-84.
10
Essential fatty acid deficiency in neonates: inability to reverse deficiency by topical applications of EFA-rich oil.新生儿必需脂肪酸缺乏症:通过局部涂抹富含必需脂肪酸的油无法逆转缺乏状态。
J Pediatr. 1978 Apr;92(4):603-7. doi: 10.1016/s0022-3476(78)80303-5.