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微生态制剂对坏死性小肠结肠炎新生儿营养状况的影响

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目的:研究微生态制剂对新生儿坏死性小肠结肠炎(Necrotizing Enterocolitis,NEC)的预防效果及对新生儿营养状况的影响.方法:将 2016 年 7 月至 2023 年 8 月于本院住院治疗的 80 例新生儿按治疗方法分为对照组 47例和观察组33 例;治疗7 d后,记录患儿NEC发生率、喂养情况和治疗结局,并通过镜检检测患儿肠道菌群(杆菌总数、球菌总数、杆球菌比值),采用速率法和比色法检测患儿白蛋白(Albumin,Alb)、血清前白蛋白(Prealbumin,PA)水平,采用放射免疫分析法检测患儿胃肠激素水平.结果:观察组NEC发病率低于对照组(P<0.05);观察组Alb、PA值、杆菌总数、细菌总数、胃泌素和胃动素、喂养情况及恢复出生体重时间显著优于对照组(P<0.05),住院时间比较无明显差异(P>0.05).结论:微生态制剂对新生儿NEC有一定的预防效果,有助于提高胃肠道激素,改善患儿营养状况等指标.
Effect of microecological preparations on nutritional status in neonates with necrotizing enterocolitis
Objective:To study the preventive effect of microecological preparations on neonatal necrotizing enterocolitis(NEC)and the impact on nutritional status in such neonates.Methods:A total of 80 neonates hospitalized in the hospital between July 2016 and August 2023 were divided into the control group(47 cases)and the observation group(33 cases)according to the treatment method.After 7 d of treatment,the occurrence of NEC,feeding condition,and treatment outcomes were recorded.The intestinal flora(total bacillus count,total coccus count,and ratio of the two)in the neonates were detected by microscopy.The albumin(Alb)and pre-albumin(PA)levels were detected by rate method and colorimetry.The levels of gastrointestinal hormones were detected by radioimmunoassay.Results:The incidence of NEC in the observation group was lower than in the control group(P<0.05).The levels of Alb and PA,total bacillus count,total bacterial count,the levels of gastrin and motilin,feeding status,and recovery time of birth weight in the observation group were significantly better than those in the control group(P<0.05).There was no significant difference in the length of hospital stay(P>0.05).Conclusion:Microecological preparations can protect neonates from NEC to a certain degree.The preparations are conducive to improving gastrointestinal hormones and nutritional status.

Microecological preparationNecrotizing enterocolitisEffectNutritional status

李欢、尹冬琴、徐文慧、温晓芳

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上饶市人民医院新生儿科,江西 上饶 334000

微生态制剂 坏死性小肠结肠炎 效果 营养状况

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(3)
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