Mounla营养评价方法在极低出生体重儿中应用  

Application of Mounla's method for the assessment of nutritional status in very low birth weight infants

作　　者：单红梅[1] 蔡威[1] 孙建华[1] 曹云[2] 施婴婴[3] 方炳华 

机构地区：[1]上海交通大学医学院附属新华医院上海儿童医学中心,上海200127 [2]复旦大学附属儿科医院 [3]上海国际和平妇幼保健院 [4]上海交通大学附属儿童医院

出　　处：《临床儿科杂志》2006年第8期652-654,共3页Journal of Clinical Pediatrics

基　　金："十五"科技攻关项目(编号:2204BA709B09)

摘　　要：目的采用Mounla方法对极低出生体重儿进行营养评价。方法上海市2003年1月～2004年12月间5家医院的极低出生体重儿126例,采集出生体重、体重下降最明显的日龄、最低体重及回到出生体重的日龄,用Mounla提出的方法进行营养评价。结果126例极低出生体重儿用Mounla的营养评价方法,营养不良的发生率为48.4%。结论Mounla这一评价方法的提出,为临床营养支持提供一定参考。Objective To assess the nutritional status in very low birth weight infants （VLBWI） using Mounla＇s method. Method Retrospective survey was performed on 126 VLBWI in 5 hospitals during January 1,2003 and December 31,2004. The nutritional status was assessed with Mounla＇s method based on the investigated information including birth weight,the most obvious day age of weight lost,the lowest weight,and the day age recovering to birth weight. Mounla＇s method was based on the excess time expressed in percent beyond the allocated time for an infant to gain his birth weight and the excess drop in weight expressed in percent beyond the allowed drop of weight. Results There were 75 male and 50 female with the gestational age of 31.6 ± 1.7（27 ～ 35.6） weeks and the birth weight of 1 389 ± 145（930 ～ 1 498） g. The most obvious day age of weight lost was 5.6 ± 3.1 （1 ～ 22） days,the lowest weight was 1 258 ± 154（838 ～ 1 490） g, and the day age recovering to birth weight was 11.5 ± 6.0（1 ～ 40） days,respectively. The incidence of malnutrition in 126 VLBWI was 48.4 % based on Mounla＇s method. Conclusions Mounla＇s method that is used to assess nutritional status is feasible for providing basis in clinical nutrition support reasonably.

关 键 词：营养评价 极低出生体重儿 Mounla方法 营养支持 

分 类 号：R722.6[医药卫生—儿科]