ABSTRACT
With the development of perinatal medicine,the proportion and number of hospitalized preterm infants are increasing year by year.However,preterm infants are often dependent on intravenous nutrition to maintain their growth and development due to their immature digestive function and high nutritional requirements (especially in extremelypremature infants and extremelylow birth weight infants).The application of parenterai nutrition can not only reduce the inhalation pneumonia and neonatal necrotizing enterocolitis and other related complications caused by intestinal feeding,but also meet the nutritional needs of preterm infants who cannot tolerate intestinal feeding in a short term,and play an important role in improving the survival rate of preterm infants and improving the prognosis of diseases.The present situation and development of clinical application of intravenous nutrition in preterm infants were reviewed.
ABSTRACT
Objective To analyze the effects of feeding with non-nutritional sucking and simultaneous transoral tube feeding on the quality of life of very low birth weight infants. Methods A total of 84 cases of very low birth weight infants from January 2017 to December 2017 in NICU of children′s hospital of Soochow University were randomly divided into the observation group and the control group, 42 cases in each group. Children in the observation group were fed with non-nutritional sucking and simultaneous transoral tube feeding and those in the control group were fed by transoral tube alone. The clinical manifestations of front, middle and after feeding and before refeeding of the two groups were observed. Results The breathing and heart rate along with percutaneous oxygen concentration during and after eating of the two groups had no statistically significant differences (all P>0.05). the sucking appetite, the frequency of the oral movement, the expression of the facial musclar tension, the state of quiet sleep, complications of feeding intolerance such as stomach retention with vomiting, abdominal distension, fecal occult blood and necrotizing enterocolitis during and after feeding and before refeeding of the observation group were 83.33% (35/42), 85.71% (36/42), 92.86% (39/42), 95.24% (40/42), 4.76% (2/42), the control group was 54.76% (23/42), 61.90% (26/42), 64.29% (27/42), 69.05% (29/42), 21.43% (9/42), the difference was statistically significant (χ2=5.126-10.182, P<0.05). The feeding volumes and mean relative growth rate during hospitalization, the time of extracting gastric tube, the average hospital stay of the observation group were (3.10 ± 1.23) ml, (20.00 ± 2.50) g, (19.06 ± 2.23) d, (41.50±4.23) d, and it had more advantages than the control group (1.50±1.15) ml, (13±1.33) g, (36.45± 4.31) d, (52.03 ± 4.21) d, the difference was statistically significant (t=6.16- 23.22, P<0.01). Conclusions Feeding with non-nutritional sucking and simultaneous transoral tube feeding for very low birth weight infants is safe and effective, it can reduce complications and promote feeding tolerance and achieve the desired growth target and shorten the hospital stay, and finally improve the quality of life.
ABSTRACT
ObjectiveTo investigate the effect of tropicamide eyedrop in the treatment adolescent pseudomyopia.Methods Tropicamide eyedrop were instilled at 68 adolescents( 136 eyes) with pseudomyopia.Effects of mydriasis were observed and visual acuity scopes were analyzed based on chi-square test.ResultsThe time interval( 1 minute or five minutes time interval) between the instillation of the two drops had no significant influence on effects of mydriasis(P ＞0.05 ).And the time interval between the instillation of the two drops had no significant influence on dioptoscopy(P ＞ 0.05 ).There was significant difference in the visual acuity scopes before treatment and post-treatment( x2=16.3308,P=0.000969964).There was significant difference in the visual acuity scopes in one-week treatment and four-week treatment ( x2 =50.2750,P =6.98115 × 10-11 ).Conclusion Instilling two drops of 0.25％tropicamide eyedrop 1 minute or 5 minutes could achieve satisfied mydriasis effect.Short-term application of tropicamide eyedrop could relieve the spasm of adolescent pseudomyopia.