中国妇幼健康研究2025，Vol.36Issue(7)：72-77,6.DOI:10.3969/j.issn.1673-5293.2025.07.010
低出生体重儿应用标准化肠外营养处方及配置流程优化研究
Research on the standardization of parenteral nutrition prescriptions and optimization of preparation processes for infants with low birth weight
摘要
Abstract
Objective This study aimed at studying the time efficiency of standardized parenteral nutrition versus individualized parenteral nutrition formulation processes in low birth weight infants and its impact on weight gain.Methods A total of 162 low birth weight infants hospitalized in the Neonatology Department of our hospital from the second half of 2015 to the first half of 2020 were selected as the study subjects.Among them,82 cases were in the standardized group and 80 cases in the control group.The former used a standardized parenteral nutrition formula,while the latter used an individualized parenteral nutrition formula.The study compared the time taken from writing the medical order to confirming the order,the time taken to complete the preparation,and the impact on the weight gain of the infants between the two groups.Results The standardized group had a total of 1 553 applications,while the control group had a total of 1427 applications;the average time required for each person in the standardized group from the physician prescribing to the nurse confirming the order was 3.82±1.65 minutes,compared to 6.20±2.23 minutes in the control group(t=7.735,P＜0.001);the average time required for nurses in the standardized group to prepare medication was 30.30±13.70 minutes,while in the control group it was 46.50±16.30 minutes(t=6.854,P＜0.001).The time from the doctor's prescription to the nurse confirming the medical order in the standardized parenteral nutrition group was reduced by 38.39％.The average time from the nurse dispensing medication to the completion of preparation was reduced by 34.84％.A comparison of weight gain between the two groups of children showed that the standardized group had a greater weight increase than the control group(t=22.530,P＜0.001),and the incidence of complications was lower than that of the control group(x2=4.691,P=0.030).Conclusion This study indicates that standardized parenteral nutrition formulas have a more streamlined preparation process,greater time efficiency,and better contribute to weight gain in low birth weight infants.关键词
低出生体重儿/标准化肠外营养/配置流程/时间效率/体重增长/并发症Key words
low birth weight infants/standardized parenteral nutrition/preparation process/time efficiency/weight gain/complica-tions分类
医药卫生引用本文复制引用
王天成,刘娅,李世红,郑海亮,王杨,邢桂荣,李莉,朱露露,张昊,张莉..低出生体重儿应用标准化肠外营养处方及配置流程优化研究[J].中国妇幼健康研究,2025,36(7):72-77,6.基金项目
北京市科技计划课题(Z201100005420032) （Z201100005420032）
