研究新生儿重症监护室使用的不同类型脂质溶液对早产儿发病率和氧化-抗氧化系统的影响

Halil Değirmencioğlu, Merve Ergin TUNCAY, Şerife Suna OĞUZ
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摘要

探讨早产儿全肠外营养中使用smof脂质和IntraLipid溶液对其发病率和氧化-抗氧化系统的影响。这项随机、对照、单盲前瞻性研究在Zekai Tahir Burak妇科培训和研究医院进行。这些婴儿接受了SMOFlipid (n=33)或Intralipid (n=32)治疗。在基线和脂质输注第7天取标本,进行实验室试验及总抗氧化能力(TAC)、总氧化能力(TOC)和氧化应激指数(OSI: TAC/TOC/100)的研究。两组均给予至少7天的肠外营养支持。大部分人口学特征的实测值与期望值比较,差异无统计学意义(p>0.05),而CPAP治疗时间、住院时间的实测值与期望值比较,差异有统计学意义(p0.05)。给予smoffat和IntraLipid溶液后发现相似的氧化应激情况,发病率无统计学差异。
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YENİDOĞAN YOĞUN BAKIM ÜNİTESİNDE KULLANILAN FARKLI TİP LİPİD SOLÜSYONLARININ PREMATÜR BEBEKLERDE MORBİDİTELERİ VE OKSİDAN-ANTİOKSİDAN SİSTEMİ ÜZERİNE ETKİNLİĞİNİN ARAŞTIRILMASI
To investigate the effects of using SmofLipid and IntraLipid solutions in total parenteral nutrition of premature babies on their morbidities and oxidant-antioxidant systems. This randomized, controlled, single-blind prospective study was conducted in Zekai Tahir Burak Gynaecology Training and Research Hospital. The babies received either SMOFlipid (n=33) or Intralipid (n=32). With the samples taken at baseline and at day 7 of lipid infusion, the laboratory tests and the total antioxidant capacity (TAC), total oxidant capacity (TOC) and oxidative stress index (OSI: TAC/TOC/100) were studied. Parenteral nutrition support was provided to both groups for at least 7 days. While no statistically significant differences were found between the observed values and expected values in most of the demographic characteristics studied (p>0.05), a statistically significant difference was found between the observed values and expected values of the length of CPAP and length of hospitalization (p<0.05). No statistically significant difference was found between the observed values and expected values with respect to morbidities between the two groups. A week later, an increase in the TAC values and a decrease in the TOC and OSI values were observed in both groups, and the results were found no statistically difference between them (p>0.05). Similar oxidative stress conditions were found after giving SMOFlipid and IntraLipid solutions and no statistically significant difference was found in morbidity rates.
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