云南省儿科住院患儿营养风险筛查与营养状况调查

发布时间：2018-02-08 10:21

本文关键词： 儿童营养风险营养风险筛查营养不良　出处：《昆明医科大学学报》2017年02期 　论文类型：期刊论文

【摘要】：目的对儿科住院患儿进行营养风险筛查及调查营养不良发生率,为进行临床营养支持提供依据,为建立营养风险筛查制度提供数据支持.方法采用STAMP营养风险筛查工具对2015年9月入住昆明医科大学附属儿童医院的754例患儿进行营养风险筛查,并通过体格测量进行营养评估,对存在高营养风险的患儿进行再次评估.结果 754例住院患儿中15.9%的患儿(120例)存在高度营养风险,57.6%的患儿(434例)存在中度营养风险.营养不良检出率为13.4%(101例),其中重度营养不良检出率1.9%(14例),轻中度营养不良检出率11.5%(87例).高营养风险患儿营养不良检出率(34.2%)高于中度营养风险患儿营养不良检出率(13.8%).血液肿瘤、腹部手术、慢性肝病、慢性肾病、先天性心脏病等疾病较其他疾病营养风险高、营养不良检出率高(P0.05).少数民族患儿高度营养风险检出率、营养不良检出率高于汉民族(P0.05).存在营养风险的患儿再次筛查后营养风险评分增加率为25.8%,腹部手术疾病增加最为明显.结论儿科住院患儿存在较高营养风险及营养不良发生率.STAMP评分法评估住院患儿营养风险,能早期发现住院患儿营养不良以及可能恶化的患儿,利于全面营养评估与及时合理的营养支持,改善营养结局.
[Abstract]:Objective to screen the nutritional risk and investigate the incidence of malnutrition in pediatric hospitalized children so as to provide evidence for clinical nutrition support. Methods 754 children admitted to the affiliated Children's Hospital of Kunming Medical University in September 2015 were screened for nutritional risk by STAMP nutritional risk screening tool. And through physical measurements to evaluate nutrition, Results 15.9% of the 754 hospitalized children had a high nutritional risk (57.6% of them) had moderate nutritional risk. The prevalence rate of malnutrition was 13.4%. The detection rate of severe malnutrition in 14 cases and mild to moderate malnutrition in 87 cases was 11.50.The detection rate of malnutrition in children with high nutritional risk was higher than that in children with moderate nutritional risk (13.8%). Abdominal surgery, chronic liver disease, chronic nephropathy, congenital heart disease and other diseases have a higher nutritional risk than other diseases, and the prevalence of malnutrition is high (P 0.05). The prevalence rate of malnutrition was higher than that of Han nationality P0.050.The increase rate of nutritional risk score was 25.8in children with nutritional risk after re-screening, and the increase of abdominal surgical diseases was the most obvious. Conclusion Children in pediatric hospital have higher nutritional risk and nutritional risk. The nutritional risk of hospitalized children was evaluated by Stamp score. Early detection of malnutrition and possible deterioration of children in hospital is conducive to comprehensive nutrition assessment and timely and reasonable nutritional support to improve nutritional outcomes.
【作者单位】：昆明医科大学附属儿童医院临床营养科;昆明医科大学附属儿童医院消化内科;昆明医科大学附属儿童医院重症医学科;
【基金】：世界健康基金会资助项目(AFINS-HOPE-2012+15)
【分类号】：R459.3

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