持续营养干预对高危急性淋巴细胞白血病患儿维持治疗阶段营养状况及并发症的影响  

Assessment of nutritional risk and efficacy of nutritional intervention during maintenance therapy in children with high-risk acute lymphoblastic leukemia

作　　者：李智英[1] 张婷婷[1] 黄惠[2] 钟婷[3] 蔡敏 Li Zhiying;Zhang Tingting;Huang Hui;Zhong Ting;Cai Ming(Department of Pediatrics,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou,510080;Department of Pediatrics,Center for Tumor Prevention and Treatment,Sun Yat-sen University,Guangzhou,510060;Department of Pediatrics,Sun Yat-Sen Memorial Hospital,Guangzhou,510120,China)

机构地区：[1]中山大学附属第一医院儿科,广东广州510080 [2]中山大学肿瘤防治中心儿科,广东广州510060 [3]中山大学孙逸仙纪念医院儿科,广东广州510120

出　　处：《现代临床护理》2018年第7期28-33,共6页Modern Clinical Nursing

基　　金：广东省医学科学技术研究基金项目;项目编号为A2015163

摘　　要：目的探讨持续营养干预对高危急性淋巴细胞白血病(acute lymphoblastic leukaemia,ALL)患儿维持治疗阶段营养状况及并发症的影响。方法按照住院号码(ID)的单双号,将168例维持治疗阶段的高危ALL患儿分为对照组(单号)84例及观察组(双号)84例。对照组实施常规护理措施与间断性饮食指导,观察组在常规护理基础上进行营养风险评估,并实施持续营养干预,干预时间为1年。比较干预前后两组患儿的营养状况及并发症发生情况。结果干预后,观察组患儿营养状况优于对照组;并发症发生率低于对照组,两组比较,差异有统计学意义(P<0.01,P<0.05)。结论持续营养干预有助于改善ALL患儿维持治疗阶段营养状况和降低并发症的发生。Objective To explore the effect of nutritional risk assessment and nutritional intervention in children with high- risk acute lymphoblastic leukemia （ALL） during maintenance therapy. Methods According to the odd or even digits of the hospital admission number, 168 high-risk ALl children in the maintenance treatment stage were equally divided into the control group （even number） and the observation group （odd number）： the control group was given routine nursing interventions plus intermittent dietary guidance and the observation group received nutrition intervention based on assessment of nutritional risks in addition to the routine nursing care for 1 year. The two groups were compared in terms of nutritional status and complications. Result After the intervention, the nutritional status in the observation group was better than that of the control group （P〈0.01）, and the incidence of complications was significantly lower than that in the intervention can help improve the complications. control group （P 〈0.05）. nutritional status of ALL ch Conclusion Nutritional risk assessment and sustained nutrition dren during maintenance therapy and reduce the incidence of

关 键 词：急性淋巴细胞白血病 维持治疗 营养状况 营养支持 

分 类 号：R473.72[医药卫生—护理学]