Unit:
Κατεύθυνση Κλινική Παιδιατρική & Νοσηλευτική - ΈρευναLibrary of the School of Health Sciences
Supervisors info:
Καθηγήτρια ΤΕΙ Ά Νοσηλευτικής Κυρίτση Ελένη, Καθηγήτρια ΄Β Παιδιατρικής Κλινικής Πανεπιστημίου Αθηνών Μπακούλα-Τζουμάκα Χρύσα, την Αναπληρώτρια Καθηγήτρια Νοσηλευτικής Ευαγγέλου Ελένη.
Original Title:
Βιοχημικό προφίλ πρόωρων νεογνών και συσχέτιση των επιπέδων αμινοφυλλίνης με την λήψη παρεντερικής διατροφής
Summary:
Introduction: The early start of epithetic parenteric nutrition in combination
with the early start of enteric nutrition, in preterm infants, reduce their
loss of weight without increasing the danger of clinical complications or
metabolic disorders. The methyloxanthines are used to the treating of episodes
of apnea in neonates smaller than 32 weeks and their action is influenced of
different factors.
Aim: The present study was conducted to evaluate if the administration of the
early epithetic parenteric nutrition at the preterm infants, provocate
disorders and signs of intolerance compared with the infants that were
receiving unfortified parenteric nutrition, also if the kind of parenteric
nutrition influence the dose of aminophylline.
Patients and Methods: The present study were referred 118 infants, the 78,8%
of them has received parenteric nutrition contemporary with antibiotic therapy
and aminophylline at a Maternity hospital, between 2009-2010. The data were
analysed with the SPSS-17.0 statistical program and the statistic applications
of Mann-Whittney, Spearman Correlation, Fisher’s exact test and the logarithmic
regression.
Results: From the statistic analyzing was found that the aminophylline levels
as the levels of the new dose of aminophylline were not different , depending
on whether they took fortified parenteric nutrition, as also the bilirubin,
SGPT, and ALP. There was a significant positive correlation of the starting day
of the parenteric nutrition with the levels of aminophylline after the second
dose. As after their birth were starting the administration of parenteric
nutrition as higher were the second dose. There was a significant negative
correlation of the starting day of parenteric nutrition with the bilirubin of
the infants. As after their birth were starting the administration of
parenteric nutrition as lower was the bilirubine. It was not found a
correlation of the starting day of parenteric nutrition of the infants with the
ecxistence of pathological values of SGOT and SGPT.
Conclusion: The levels of aminophylline as the levels of the new dose were not
different according depending on if they received parenteric nutrition. However
the parenteric nutrition influences the levels of the other paremeters aw the
values of γ-GT, SGOT and bilirubine. It is very important the administration of
the parenteric nutrition and continuously is demonstrated that the epithetic
parenteric nutrition is better and specially with the early enteric nutrition.
Keywords:
Preterm Infants, biochimic profile, Parenteric nutrition, Enteric Nutrition, Aminophylline
File:
File access is restricted.
document.pdf
1 MB
File access is restricted.
