本文關(guān)鍵詞：706例外科住院患兒營養(yǎng)風(fēng)險(xiǎn)篩查及其臨床意義，由筆耕文化傳播整理發(fā)布。

DOI:10.7499/j.issn.1008-8830.2013.10.016

論著·臨床研究

706例外科住院患兒營養(yǎng)風(fēng)險(xiǎn)篩查及其臨床意義

彭璐婷　李榮　趙衛(wèi)華　陳銀花　李小妹　陳夢(mèng)瑩　曹佳　李曉南

（南京醫(yī)科大學(xué)附屬南京兒童醫(yī)院兒童保健科，江蘇 南京　210000）

［摘要］　目的　探討外科住院患兒的營養(yǎng)風(fēng)險(xiǎn)及其與臨床結(jié)局的相關(guān)性，為臨床營養(yǎng)管理提供科學(xué)依據(jù)。方法　應(yīng)用營養(yǎng)狀況和生長風(fēng)險(xiǎn)篩查工具（STRONG）對(duì)706例外科住院患兒進(jìn)行營養(yǎng)風(fēng)險(xiǎn)篩查，同時(shí)記錄住院期間患兒營養(yǎng)支持情況、感染性并發(fā)癥發(fā)生率、住院時(shí)間、術(shù)后住院時(shí)間以及住院總費(fèi)用等資料進(jìn)行分析。結(jié)果　706例外科住院患兒中，有11.5%存在高度營養(yǎng)風(fēng)險(xiǎn)，46.0%為中度營養(yǎng)風(fēng)險(xiǎn)，42.5%為低度營養(yǎng)風(fēng)險(xiǎn)；先天性肥厚性幽門狹窄、腸梗阻、先天性心臟病患兒居高度營養(yǎng)風(fēng)險(xiǎn)發(fā)生率前3位；嬰兒高度營養(yǎng)風(fēng)險(xiǎn)的發(fā)生率明顯高于其他年齡段患兒（P<0.01）；81例高度營養(yǎng)風(fēng)險(xiǎn)患兒中有52例（64.2%）接受了腸外營養(yǎng)支持；高度營養(yǎng)風(fēng)險(xiǎn)患兒住院期間較低度營養(yǎng)風(fēng)險(xiǎn)患兒更容易出現(xiàn)體重丟失（P<0.05），其感染性并發(fā)癥、住院時(shí)間、術(shù)后住院時(shí)間以及住院總費(fèi)用均明顯高于中、低度營養(yǎng)風(fēng)險(xiǎn)患兒（均P<0.01）。結(jié)論　外科住院患兒存在中、高度營養(yǎng)風(fēng)險(xiǎn)；營養(yǎng)風(fēng)險(xiǎn)評(píng)分對(duì)患兒臨床結(jié)局存在影響；目前外科住院患兒的營養(yǎng)支持仍不規(guī)范，需推廣住院兒童營養(yǎng)風(fēng)險(xiǎn)篩查并進(jìn)行規(guī)范的營養(yǎng)支持。 ［中國當(dāng)代兒科雜志，2013，15（10）：880-885］

［關(guān)鍵詞］　外科；營養(yǎng)風(fēng)險(xiǎn)；STRONG篩查；臨床結(jié)局；兒童

Nutritional risk screening and its clinical significance in 706 children hospitalized in the surgical department

PENG Lu-Ting, LI Rong, ZHAO Wei-Hua, CHEN Yin-Hua, LI Xiao-Mei, CHEN Meng-Ying, CAO Jia, LI Xiao-Nan. Department of Children's Health Care, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210000, China (Li X-N, Email: xnli@)

Abstract: Objective To investigate nutritional risk and its relationship with clinical outcome in children hospitalized in the surgical department, and to provide a scientific basis for clinical nutrition management. MethodsNutritional risk screening was performed on 706 children hospitalized in the surgical department using the Screening Tool for Risk on Nutritional Status and Growth. The data on nutritional support during hospitalization, incidence of infectious complications, length of hospital stay, post operative length of hospital stay and total hospital expenses were recorded. Results Of the 706 cases, 11.5% had high nutritional risk, 46.0% had moderate nutritional risk, and 42.5% had low nutritional risk. Congenital hypertrophic pyloric stenosis, intestinal obstruction and congenital heart disease were the three most common types of high nutritional risk. The incidence of high nutritional risk was significantly higher in infants than in other age groups (P<0.01). Fifty-two (64.2%) of the eighty-one children with high nutritional risk received parenteral nutrition. Children with high nutritional risk were significantly more likely to have weight loss than children with low nutritional risk (P<0.05). Children with high nutritional risk had significantly increased incidence of infectious complications, length of hospital stay, post operative length of hospital stay and total hospital expenses compared with those with moderate or low nutritional risk (P<0.01). Conclusions Moderate or high nutritional risk is seen in children hospitalized in the surgical department. Nutritional risk score is correlated with clinical outcome. Nutritional support for these children is not yet properly provided. Nutritional risk screening and standard nutritional support should be widely applied among hospitalized children. [Chin J Contemp Pediatr, 2013, 15(10): 880-885]

Key words: Surgical department; Nutritional risk; Screening Tool for Risk on Nutritional Status and Growth; Clinical outcome; Child

［收稿日期］2013-03-05；［修回日期］2013-05-23

［基金項(xiàng)目］世界健康基金會(huì)“上海兒童醫(yī)學(xué)中心-雅培/世界健康基金會(huì)臨床營養(yǎng)發(fā)展中心(AFINS)項(xiàng)目支持”（AFINS-HOPE- 2011-11-B）; 南京科技發(fā)展人口與健康項(xiàng)目（2011）。［作者簡介］彭璐婷，女，，碩士，住院醫(yī)師。［通信作者］李曉南，主任醫(yī)師。

  本文關(guān)鍵詞：706例外科住院患兒營養(yǎng)風(fēng)險(xiǎn)篩查及其臨床意義，由筆耕文化傳播整理發(fā)布。