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《Journal of Applied Clinical Pediatrics》 2012-24
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Nutritional Status of Low Birth Weight Newborns with Different Gestational Age in Neonatal Intensive Care Unit

KUANG Wen-ying1,LIAO Yan2,WANG Wei-shan1,LI Li1,HUANG Hui-wen1(1.Department of Neonatology,Maternal and Child Health Hospital of Zhuhai City,Zhuhai 519000,Guangdong Province,China;2.Department of Child Healthcare,Boai Hospital of Zhongshan City,Zhongshan 528400,Guangdong Province,China)  
Objective To investigate the early assessment index of nutrition of low birth weight newborns with different gestational age in neonatal intensive care unit.Methods Prospective study was carried in low birth weight newborns divided by different gestational age[gestational age 28-31 weeks(G28-31) group,gestational age 32-36 weeks(G32-36) group and gestational age 37-42 weeks(G37-42) group].Serum index including serum albumin(ALB),glucose(Glu),total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),apolipoprotein A(ApoA),apolipoprotein B(ApoB) were tested at the first day and enteral nutrition reached to recommended diet intakes(RDIs).Results Serum ALB increased obviously according to gestational age(P0.05).TC,LDL-C,ApoB levels in newborn infants in the first day in G37-42 group were significantly lower than those in G28-31 group and G32-36 group,whereas at the first day after enteral nutrition to RDIs,their TG,LDL-C,ApoB levels increased significantly higher than those in the G28-31 group and G32-36 group,there were statistical differences.Conclusions Blood ALB is early clinical sensitive indicators for evaluating nutritional status of low birth weight infants with different gestational age,regularly monitoring blood lipids in LDL-C,ApoB level changes,can provide reasonable guidance for the early neonatal nutritional intervention,avoid chasing growth process without proper nutrition lead to metabolic disorders.
【Fund】: 珠海市科技计划项目(2009021)
【CateGory Index】: R722.1
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