儿内科住院患者营养风险筛查与血液营养指标的关系-东南大学学报医学版

儿内科住院患者营养风险筛查与血液营养指标的关系

单位：1. 中国医科大学附属盛京医院临床营养科, 辽宁沈阳 110004;
2. 中国人民解放军沈阳军区总医院营养科, 辽宁沈阳 110016

分类号：R151.42;R725

出版年·卷·期（页码）：2014·33·第五期（573-577）

摘要：

目的：调查儿内科住院患者的营养不良及高营养风险发生率，探讨高营养风险发生率与血液营养指标的相关性。方法：应用STAMP评分对中国医科大学附属盛京医院儿内科收治的668例0~14岁住院患者进行营养风险筛查，比较不同系统疾病间营养不良发生率、血液营养指标，分析高营养风险的可能影响因素。结果：各系统疾病间营养不良发生率、高营养风险发生率、血清前白蛋白（PA）、肌酐（Scr）水平比较，差异有统计学意义（P<0.05或P<0.01）。总体营养不良发生率19.5%，高营养风险发生率28.1%，均以消化系统疾病发生率最高。血液营养指标异常在各系统疾病中均存在，其中以Scr、PA降低发生率最高，分别为96.6%、81.4%。高营养风险发生率与PA、Scr值呈负相关，而与C反应蛋白值呈正相关。结论：儿内科住院患者存在中、高度营养风险，以呼吸、消化系统疾病发生率较高。PA、Scr可作为患儿更准确、更敏感的营养指标。重视患儿的营养状况，有利于患儿的预后。

Objective: To investigate the incidence rate of malnutrition and the high nutrition risk in hospitalized children in department of pediatrics, and to explore the correlation between the incidence of high nutrition risk and nutrition markers in blood. Methods: STAMP score was adopted to screen the nutrition risk of 668 children aged 0-14 hospitalized in Shengjing Hospital affiliated to Chinese Medicine University, the rate of malnutrition and nutrition markers in blood were compared among different system diseases, the possible effective factors on high nutrition risk were analysed.Results: Significant differences were found in the incidence rate of malnutrition and high nutrition risk, serum PA, Scr among different system diseases (P<0.05 or P<0.01). The total malnutrition incidence rate and high nutrition risk were 19.5% and 28.1% respectively, and both were found the highest in the digestive system disease. The abnormal markers in blood were distributed in all system diseases and the declines in Scr and PA were most common (96.6% and 81.4%, respectively). The high rate of nutrition risk was negtively correlated with PA, Scr while was positively with CRP. Conclusion: Moderate and high degrees of nutrition risk are found in the hospitalized children in department of pediatrics and the rate is especially high in the respiratory and digestive system diseases. PA and Scr may be more accurate and more sensitive nutrition markers. The nutrition status of the patients should be thought highly, and this would be benefit to prognosis.

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