危重症儿童营养风险筛查和营养评估  

Clinical application of the nutritional risk screening and nutrition assessment in critically ill children

作　　者：周方[1] 李小芹[1] 

机构地区：[1]郑州市儿童医院消化科,河南郑州450053

出　　处：《中国儿童保健杂志》2016年第1期72-74,共3页Chinese Journal of Child Health Care

摘　　要：目的调查危重症儿童营养风险、营养不良的发生情况,为临床进行营养支持提供依据。方法采用2010年STRONG kids评分标准对326例危重症住院患儿进行营养风险筛查,并通过体格测量评估儿童营养状况。结果 326例病人均完成STRONG kids筛查,营养风险和营养不良的发生率分别为51.53%(168例)和23.01%(75例),消化系统疾病营养风险及营养不良检出率均高于其他系统疾病(P<0.05);病例组患儿按危重症评分水平分为三组:极危重组营养风险发生率明显高于另外两组(P<0.01)。结论危重症儿童营养风险及营养不良发生率高,可采用STRONG kids评分对危重症患儿进行营养风险筛查,尽早予以合理营养支持。Objective To investigate the nutritional risk and malnutrition occurrence,and to provide clinical basis for nutrition support in critically ill children. Method Nutritional risk screening tool STRONG kids was applied to 326 cases of critically ill children with nutritional risk screening,and physical measurement assessed children＇s nutritional status. Results All patient＇s assessments of nutritional risk screening were completed.The incidences of nutritional risk and malnutrition was 51.53%（168cases）and 23.01%（75cases）respectively.Digestive disease occurred with severe nutritional risk and malnutrition was far higher than other diseases（P〈0.05）.According to pediatric critical illness score（PCIS）criteria,three groups including extremely critical group（≤70scores）,critical group（71-80scores）,and non-critical group（81-100scores）were recruited.The detection rate of nutritional risk in the extremely critical group was significantly higher than that in the other two groups（P〈0.01）. Conclusions Nutritional risk and malnutrition are common among critically ill children.STRONGkids is a valid tool and recommended for nutritional risk screening in critically ill children and early nutrition support.

关 键 词：营养风险评价工具 营养风险 营养不良 危重症儿童 

分 类 号：R179[医药卫生—妇幼卫生保健]