静脉营养医嘱软件在早产儿营养管理中的应用

发布时间：2018-03-16 07:21

本文选题：静脉营养　切入点：软件　出处：《浙江大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:评估计算机静脉营养医嘱软件(NICU-TPN)在早产儿营养管理中的临床应用效果和价值。方法:随机选择人工计算静脉营养医嘱阶段(2011年-2012年)极低出生体重儿40例(对照组)及计算机辅助静脉营养医嘱阶段(2013年-2015年6月)极低出生体重儿60例(观察组),回顾性查阅两组早产儿的临床资料,比较两组早产儿在生后1周内三大营养素和能量摄入量、住院时间、以及临床结局是否存在差异。结果:生后1周内,观察组各天龄的脂肪摄入量均较对照组增高,具有明显统计学差异(P0.05),葡萄糖摄入量略有减少,但差异无统计学意义;两组各天龄的氨基酸及能量摄入量无统计学差异(P0.05)。两组早产儿的住院时间、静脉营养支持时间、日均体重增长速率、血糖紊乱、败血症、宫外生长迟缓发生率均无明显统计学差异(P0.05)。观察组支气管肺发育不良、胆汁淤积症、早产儿视网膜病变发生率高于对照组(P0.05)。结论:计算机静脉营养医嘱软件能完全取代早产儿静脉营养的手工计算和医嘱录入,能大大提高临床工作效率和医嘱录入的安全性,且能为早产儿提供更合理的营养比例,具有广泛的临床推广价值。两组早产儿在支气管肺发育不良、胆汁淤积症、早产儿视网膜病变发生率存在差异,是否与静脉营养医嘱有关尚有待进一步研究。
[Abstract]:Objective: To evaluate the computer software instructions (NICU-TPN) intravenous nutrition management of nutrition in preterm infants the effect and value of clinical application. Methods: manual calculation of intravenous nutrition advice stage (2011 -2012) 40 very low birth weight infants (control group) and computer assisted intravenous nutrition advice stage (2013 -2015 June) pole 60 cases of low birth weight infants (observation group), a retrospective review of two infants in group, compared two groups of premature infants within 1 weeks of nutrients and energy intake, hospitalization time, clinical outcome and whether there exist differences. Results: 1 weeks after birth, the observation group each day old fat intake were higher than those of the control group, with significant difference (P0.05), glucose intake decreased slightly, but the difference was not statistically significant; there was no significant difference in amino acid and energy intake in groups of two day old (P0.05). Two groups of preterm birth Time in hospitalized children, intravenous nutrition time, average daily growth rate of body weight, blood sugar disorders, septicemia, extrauterine growth retardation rate were no significant difference (P0.05). The observation group of bronchopulmonary dysplasia, cholestasis, retinopathy of prematurity, the incidence is higher than that of control group (P0.05). Conclusion: Intravenous nutrition prescription computer software can completely replace the premature intravenous nutrition manual calculation and order entry, can greatly improve the safety and efficiency of clinical work order entry, and can provide more reasonable proportion of nutrition for premature babies, with wide clinical value. Two groups of preterm bronchopulmonary dysplasia, cholestasis, retinopathy of prematurity, the incidence of existence the difference, whether related to intravenous nutrition advice remains to be further studied.

【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R722.6;R459.3

【相似文献】