[Variation in the blood lipids in premature newborns during the use of the "all-in-one" total nutritional mixture]. / Variación de los lípidos sanguíneos en recién nacidos prematuros durante la mezcla nutricional total "todo en uno".

This prospective study was performed for the evaluation of the lipids in serum; the metabolic and other effects related with septicaemia, stability and compatibility of the parenteral nutrition combining in one continent amino acids, carbohydrates and fats; this system is called nutritional total mixture, "all in one" or three in one. Twenty prematures neonates were included in the study. The variables analyzed were: weight, gestational age; the laboratory exams taken before the installation of the system and seven days after were: total lipids, triglycerides, phospholipids, cholesterol, sodium, potassium, chloride, glucose, urea nitrogen, creatinine, hepatic enzymes and proteins, cellular blood count and coagulations tests. We obtained the next results: the mean gestational age and weight were 34 +/- 5 weeks and 1327 +/- 172 g, have been observed rise of lipids (P < 0.001), declination of potassium levels (P < 0.001), increment of calcium levels (P < 0.001), increment of albumin (P < 0.001) and platelets (P < 0.01). It is concluded that nutritional total mixture is a sure method in management of premature newborn with good stability, compatibility, with a increment of fats in serum physiological levels, with metabolic tolerance without repercussion renal, hepatic, hematological and without infections.